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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
295
Total Claims
$50K
Drug Cost
69
Beneficiaries
$722
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+823%
Opioid rate vs peers
34.9% vs 3.8% avg
-38%
Cost per patient vs peers
$722 vs $1,174 avg
+80%
Brand preference vs peers
15.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
34.9%
Opioid Rate
103
Opioid Claims
$36K
Opioid Cost
47.6%
Long-Acting Rate
This provider's opioid prescribing rate of 34.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 47 claims · $40K
Generic: 248 claims · $9,453
Patient Profile
71
Avg Age
61%
Female
2.30
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