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 →45
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,337
Total Claims
$63K
Drug Cost
379
Beneficiaries
$165
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1497%
Opioid rate vs peers
60.4% vs 3.8% avg
-86%
Cost per patient vs peers
$165 vs $1,174 avg
-82%
Brand preference vs peers
1.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.4%
Opioid Rate
1,412
Opioid Claims
$38K
Opioid Cost
22.1%
Long-Acting Rate
This provider's opioid prescribing rate of 60.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 37 claims · $12K
Generic: 2,300 claims · $51K
Patient Profile
71
Avg Age
60%
Female
1.91
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