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
467
Total Claims
$399K
Drug Cost
37
Beneficiaries
$11K
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1729%
Opioid rate vs peers
69.2% vs 3.8% avg
+818%
Cost per patient vs peers
$11K vs $1,174 avg
+274%
Brand preference vs peers
33.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
69.2%
Opioid Rate
323
Opioid Claims
$87K
Opioid Cost
40.9%
Long-Acting Rate
This provider's opioid prescribing rate of 69.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 155 claims · $376K
Generic: 312 claims · $23K
Patient Profile
36
Avg Age
49%
Female
4.63
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