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 →39
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,963
Total Claims
$103K
Drug Cost
312
Beneficiaries
$331
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1642%
Opioid rate vs peers
65.9% vs 3.8% avg
-72%
Cost per patient vs peers
$331 vs $1,174 avg
-66%
Brand preference vs peers
3.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
65.9%
Opioid Rate
1,293
Opioid Claims
$83K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 65.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 60 claims · $19K
Generic: 1,903 claims · $85K
Patient Profile
69
Avg Age
60%
Female
1.40
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