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
693
Total Claims
$56K
Drug Cost
42
Beneficiaries
$1,343
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1193%
Opioid rate vs peers
48.9% vs 3.8% avg
+14%
Cost per patient vs peers
$1,343 vs $1,174 avg
-33%
Brand preference vs peers
5.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.9%
Opioid Rate
339
Opioid Claims
$24K
Opioid Cost
26.3%
Long-Acting Rate
This provider's opioid prescribing rate of 48.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 41 claims · $23K
Generic: 652 claims · $33K
Patient Profile
64
Avg Age
57%
Female
1.77
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