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
276
Total Claims
$19K
Drug Cost
55
Beneficiaries
$338
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1184%
Opioid rate vs peers
48.6% vs 3.8% avg
-71%
Cost per patient vs peers
$338 vs $1,174 avg
-26%
Brand preference vs peers
6.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.6%
Opioid Rate
134
Opioid Claims
$15K
Opioid Cost
26.9%
Long-Acting Rate
This provider's opioid prescribing rate of 48.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $10K
Generic: 258 claims · $8,545
Patient Profile
73
Avg Age
58%
Female
3.17
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