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 →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
703
Total Claims
$18K
Drug Cost
111
Beneficiaries
$166
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2123%
Opioid rate vs peers
84.1% vs 3.8% avg
-86%
Cost per patient vs peers
$166 vs $1,174 avg
-81%
Brand preference vs peers
1.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
84.1%
Opioid Rate
591
Opioid Claims
$14K
Opioid Cost
3.4%
Long-Acting Rate
This provider's opioid prescribing rate of 84.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $3,126
Generic: 691 claims · $15K
Patient Profile
70
Avg Age
60%
Female
2.00
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