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
353
Total Claims
$3,282
Drug Cost
256
Beneficiaries
$13
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2207%
Opioid rate vs peers
87.3% vs 3.8% avg
-99%
Cost per patient vs peers
$13 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
87.3%
Opioid Rate
308
Opioid Claims
$2,651
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 87.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 353 claims · $3,282
Patient Profile
70
Avg Age
66%
Female
1.25
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