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 →🤖 ML Fraud Detection Score: 91%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
381
Total Claims
$18K
Drug Cost
17
Beneficiaries
$1,073
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+816%
Opioid rate vs peers
34.6% vs 3.8% avg
-9%
Cost per patient vs peers
$1,073 vs $1,174 avg
-53%
Brand preference vs peers
4.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
34.6%
Opioid Rate
132
Opioid Claims
$15K
Opioid Cost
22.0%
Long-Acting Rate
This provider's opioid prescribing rate of 34.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $3,286
Generic: 365 claims · $15K
Patient Profile
57
Avg Age
—
Female
0.91
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About