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
237
Total Claims
$15K
Drug Cost
52
Beneficiaries
$290
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2109%
Opioid rate vs peers
83.5% vs 3.8% avg
-75%
Cost per patient vs peers
$290 vs $1,174 avg
-19%
Brand preference vs peers
7.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
83.5%
Opioid Rate
198
Opioid Claims
$13K
Opioid Cost
18.2%
Long-Acting Rate
This provider's opioid prescribing rate of 83.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 17 claims · $9,232
Generic: 220 claims · $5,846
Patient Profile
70
Avg Age
46%
Female
3.27
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