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
4,228
Total Claims
$269K
Drug Cost
586
Beneficiaries
$460
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1545%
Opioid rate vs peers
62.2% vs 3.8% avg
-61%
Cost per patient vs peers
$460 vs $1,174 avg
-27%
Brand preference vs peers
6.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.2%
Opioid Rate
2,630
Opioid Claims
$207K
Opioid Cost
19.0%
Long-Acting Rate
This provider's opioid prescribing rate of 62.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 275 claims · $170K
Generic: 3,953 claims · $99K
Patient Profile
70
Avg Age
64%
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