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 →46
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,227
Total Claims
$120K
Drug Cost
234
Beneficiaries
$512
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1716%
Opioid rate vs peers
68.7% vs 3.8% avg
-56%
Cost per patient vs peers
$512 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
68.7%
Opioid Rate
1,530
Opioid Claims
$91K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 68.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 125 claims · $59K
Generic: 2,102 claims · $61K
Patient Profile
68
Avg Age
68%
Female
1.57
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