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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
270
Total Claims
$41K
Drug Cost
81
Beneficiaries
$507
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1104%
Opioid rate vs peers
45.6% vs 3.8% avg
-57%
Cost per patient vs peers
$507 vs $1,174 avg
+50%
Brand preference vs peers
13.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.6%
Opioid Rate
123
Opioid Claims
$16K
Opioid Cost
24.4%
Long-Acting Rate
This provider's opioid prescribing rate of 45.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 36 claims · $30K
Generic: 234 claims · $11K
Patient Profile
62
Avg Age
69%
Female
1.85
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