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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
458
Total Claims
$122K
Drug Cost
113
Beneficiaries
$1,077
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1205%
Opioid rate vs peers
49.3% vs 3.8% avg
-8%
Cost per patient vs peers
$1,077 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.3%
Opioid Rate
226
Opioid Claims
$6,392
Opioid Cost
21.7%
Long-Acting Rate
This provider's opioid prescribing rate of 49.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 398 claims · $7,173
Patient Profile
74
Avg Age
65%
Female
2.55
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