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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
536
Total Claims
$31K
Drug Cost
73
Beneficiaries
$425
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1153%
Opioid rate vs peers
47.4% vs 3.8% avg
-64%
Cost per patient vs peers
$425 vs $1,174 avg
-37%
Brand preference vs peers
5.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.4%
Opioid Rate
254
Opioid Claims
$15K
Opioid Cost
55.9%
Long-Acting Rate
This provider's opioid prescribing rate of 47.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $7,951
Generic: 506 claims · $23K
Patient Profile
70
Avg Age
58%
Female
3.11
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