Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
181
Total Claims
$12K
Drug Cost
104
Beneficiaries
$117
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1945%
Opioid rate vs peers
77.3% vs 3.8% avg
-90%
Cost per patient vs peers
$117 vs $1,174 avg
-25%
Brand preference vs peers
6.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
77.3%
Opioid Rate
140
Opioid Claims
$1,243
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 77.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $11K
Generic: 169 claims · $1,556
Patient Profile
73
Avg Age
60%
Female
1.03
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About