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 →39
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
926
Total Claims
$48K
Drug Cost
256
Beneficiaries
$188
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1396%
Opioid rate vs peers
56.6% vs 3.8% avg
-84%
Cost per patient vs peers
$188 vs $1,174 avg
-27%
Brand preference vs peers
6.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.6%
Opioid Rate
524
Opioid Claims
$35K
Opioid Cost
19.3%
Long-Acting Rate
This provider's opioid prescribing rate of 56.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 60 claims · $30K
Generic: 866 claims · $18K
Patient Profile
74
Avg Age
61%
Female
1.38
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