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
415
Total Claims
$91K
Drug Cost
189
Beneficiaries
$483
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1353%
Opioid rate vs peers
54.9% vs 3.8% avg
-59%
Cost per patient vs peers
$483 vs $1,174 avg
-35%
Brand preference vs peers
5.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
54.9%
Opioid Rate
228
Opioid Claims
$16K
Opioid Cost
20.6%
Long-Acting Rate
This provider's opioid prescribing rate of 54.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 24 claims · $80K
Generic: 391 claims · $11K
Patient Profile
70
Avg Age
59%
Female
2.84
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