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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 →

Amy SmithRN

Nurse Practitioner · Bel Air, MD 21014

NPI: 1952986127

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51

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peers99th percentile opioid prescribingElevated long-acting opioid rate

Risk indicators are statistical patterns, not allegations. Learn more

5,463

Total Claims

$362K

Drug Cost

451

Beneficiaries

$804

Cost/Patient

Risk Score Breakdown 51/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+15
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1700%

Opioid rate vs peers

68.1% vs 3.8% avg

-32%

Cost per patient vs peers

$804 vs $1,174 avg

-15%

Brand preference vs peers

7.6% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

68.1%

Opioid Rate

3,719

Opioid Claims

$247K

Opioid Cost

17.9%

Long-Acting Rate

This provider's opioid prescribing rate of 68.1% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 413 claims · $204K

Generic: 5,050 claims · $158K

Patient Profile

67

Avg Age

64%

Female

1.65

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