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 →🤖 ML Fraud Detection Score: 90%
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
288
Total Claims
$16K
Drug Cost
35
Beneficiaries
$456
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1617%
Opioid rate vs peers
64.9% vs 3.8% avg
-61%
Cost per patient vs peers
$456 vs $1,174 avg
-41%
Brand preference vs peers
5.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
64.9%
Opioid Rate
187
Opioid Claims
$15K
Opioid Cost
16.0%
Long-Acting Rate
This provider's opioid prescribing rate of 64.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 15 claims · $9,549
Generic: 273 claims · $6,410
Patient Profile
60
Avg Age
43%
Female
1.09
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