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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,262
Total Claims
$99K
Drug Cost
220
Beneficiaries
$448
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1176%
Opioid rate vs peers
48.3% vs 3.8% avg
-62%
Cost per patient vs peers
$448 vs $1,174 avg
-3%
Brand preference vs peers
8.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.3%
Opioid Rate
609
Opioid Claims
$55K
Opioid Cost
20.2%
Long-Acting Rate
This provider's opioid prescribing rate of 48.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 108 claims · $46K
Generic: 1,154 claims · $53K
Patient Profile
65
Avg Age
68%
Female
1.67
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