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
432
Total Claims
$23K
Drug Cost
67
Beneficiaries
$340
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+885%
Opioid rate vs peers
37.3% vs 3.8% avg
-71%
Cost per patient vs peers
$340 vs $1,174 avg
+7%
Brand preference vs peers
9.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
37.3%
Opioid Rate
161
Opioid Claims
$12K
Opioid Cost
31.7%
Long-Acting Rate
This provider's opioid prescribing rate of 37.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 41 claims · $8,135
Generic: 391 claims · $15K
Patient Profile
73
Avg Age
48%
Female
2.91
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