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 →42
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,584
Total Claims
$67K
Drug Cost
536
Beneficiaries
$124
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1725%
Opioid rate vs peers
69.0% vs 3.8% avg
-89%
Cost per patient vs peers
$124 vs $1,174 avg
-80%
Brand preference vs peers
1.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
69.0%
Opioid Rate
1,784
Opioid Claims
$37K
Opioid Cost
5.2%
Long-Acting Rate
This provider's opioid prescribing rate of 69.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $13K
Generic: 2,539 claims · $54K
Patient Profile
71
Avg Age
67%
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