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
248
Total Claims
$14K
Drug Cost
48
Beneficiaries
$285
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1286%
Opioid rate vs peers
52.4% vs 3.8% avg
-76%
Cost per patient vs peers
$285 vs $1,174 avg
+36%
Brand preference vs peers
12.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.4%
Opioid Rate
130
Opioid Claims
$9,670
Opioid Cost
27.7%
Long-Acting Rate
This provider's opioid prescribing rate of 52.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $8,982
Generic: 218 claims · $4,721
Patient Profile
69
Avg Age
54%
Female
3.20
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