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
1,780
Total Claims
$104K
Drug Cost
223
Beneficiaries
$468
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1575%
Opioid rate vs peers
63.4% vs 3.8% avg
-60%
Cost per patient vs peers
$468 vs $1,174 avg
-59%
Brand preference vs peers
3.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.4%
Opioid Rate
1,128
Opioid Claims
$76K
Opioid Cost
9.2%
Long-Acting Rate
This provider's opioid prescribing rate of 63.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 64 claims · $25K
Generic: 1,716 claims · $79K
Patient Profile
70
Avg Age
63%
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