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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,639
Total Claims
$408K
Drug Cost
787
Beneficiaries
$518
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1255%
Opioid rate vs peers
51.2% vs 3.8% avg
-56%
Cost per patient vs peers
$518 vs $1,174 avg
-53%
Brand preference vs peers
4.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
51.2%
Opioid Rate
3,402
Opioid Claims
$170K
Opioid Cost
10.2%
Long-Acting Rate
This provider's opioid prescribing rate of 51.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 278 claims · $186K
Generic: 6,361 claims · $222K
Patient Profile
66
Avg Age
63%
Female
2.03
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