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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
380
Total Claims
$22K
Drug Cost
52
Beneficiaries
$426
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1278%
Opioid rate vs peers
52.1% vs 3.8% avg
-64%
Cost per patient vs peers
$426 vs $1,174 avg
-41%
Brand preference vs peers
5.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.1%
Opioid Rate
198
Opioid Claims
$18K
Opioid Cost
37.9%
Long-Acting Rate
This provider's opioid prescribing rate of 52.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $12K
Generic: 360 claims · $10K
Patient Profile
72
Avg Age
44%
Female
2.25
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