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
1,229
Total Claims
$68K
Drug Cost
299
Beneficiaries
$228
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1322%
Opioid rate vs peers
53.8% vs 3.8% avg
-81%
Cost per patient vs peers
$228 vs $1,174 avg
-50%
Brand preference vs peers
4.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
53.8%
Opioid Rate
661
Opioid Claims
$46K
Opioid Cost
19.1%
Long-Acting Rate
This provider's opioid prescribing rate of 53.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 55 claims · $26K
Generic: 1,174 claims · $43K
Patient Profile
62
Avg Age
66%
Female
1.97
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