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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,282
Total Claims
$199K
Drug Cost
276
Beneficiaries
$721
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1601%
Opioid rate vs peers
64.4% vs 3.8% avg
-39%
Cost per patient vs peers
$721 vs $1,174 avg
-30%
Brand preference vs peers
6.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
64.4%
Opioid Rate
2,112
Opioid Claims
$111K
Opioid Cost
19.8%
Long-Acting Rate
This provider's opioid prescribing rate of 64.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 203 claims · $125K
Generic: 3,079 claims · $74K
Patient Profile
70
Avg Age
65%
Female
1.69
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