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
268
Total Claims
$21K
Drug Cost
133
Beneficiaries
$157
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1824%
Opioid rate vs peers
72.8% vs 3.8% avg
-87%
Cost per patient vs peers
$157 vs $1,174 avg
-12%
Brand preference vs peers
7.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
72.8%
Opioid Rate
195
Opioid Claims
$19K
Opioid Cost
35.9%
Long-Acting Rate
This provider's opioid prescribing rate of 72.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 21 claims · $11K
Generic: 247 claims · $10K
Patient Profile
70
Avg Age
60%
Female
1.71
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