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
230
Total Claims
$16K
Drug Cost
24
Beneficiaries
$654
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1233%
Opioid rate vs peers
50.4% vs 3.8% avg
-44%
Cost per patient vs peers
$654 vs $1,174 avg
-22%
Brand preference vs peers
7.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
50.4%
Opioid Rate
116
Opioid Claims
$13K
Opioid Cost
37.9%
Long-Acting Rate
This provider's opioid prescribing rate of 50.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $7,785
Generic: 214 claims · $7,915
Patient Profile
69
Avg Age
—
Female
3.69
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