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 →43
🟠 Elevated
🤖 ML Fraud Detection Score: 85%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
352
Total Claims
$22K
Drug Cost
32
Beneficiaries
$687
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1522%
Opioid rate vs peers
61.4% vs 3.8% avg
-41%
Cost per patient vs peers
$687 vs $1,174 avg
-17%
Brand preference vs peers
7.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.4%
Opioid Rate
216
Opioid Claims
$18K
Opioid Cost
32.9%
Long-Acting Rate
This provider's opioid prescribing rate of 61.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 26 claims · $11K
Generic: 326 claims · $11K
Patient Profile
65
Avg Age
63%
Female
2.17
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About