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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
844
Total Claims
$165K
Drug Cost
128
Beneficiaries
$1,292
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1354%
Opioid rate vs peers
55.0% vs 3.8% avg
+10%
Cost per patient vs peers
$1,292 vs $1,174 avg
+38%
Brand preference vs peers
12.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
55.0%
Opioid Rate
464
Opioid Claims
$74K
Opioid Cost
33.0%
Long-Acting Rate
This provider's opioid prescribing rate of 55.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 103 claims · $131K
Generic: 741 claims · $34K
Patient Profile
64
Avg Age
66%
Female
1.88
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