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 →48
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
213
Total Claims
$7,413
Drug Cost
54
Beneficiaries
$137
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1812%
Opioid rate vs peers
72.3% vs 3.8% avg
-88%
Cost per patient vs peers
$137 vs $1,174 avg
+16%
Brand preference vs peers
10.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
72.3%
Opioid Rate
154
Opioid Claims
$6,251
Opioid Cost
39.6%
Long-Acting Rate
This provider's opioid prescribing rate of 72.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 22 claims · $346
Generic: 191 claims · $7,068
Patient Profile
74
Avg Age
52%
Female
2.66
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