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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,747
Total Claims
$61K
Drug Cost
156
Beneficiaries
$392
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1171%
Opioid rate vs peers
48.1% vs 3.8% avg
-67%
Cost per patient vs peers
$392 vs $1,174 avg
-1%
Brand preference vs peers
8.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.1%
Opioid Rate
840
Opioid Claims
$31K
Opioid Cost
19.0%
Long-Acting Rate
This provider's opioid prescribing rate of 48.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 154 claims · $27K
Generic: 1,593 claims · $34K
Patient Profile
70
Avg Age
55%
Female
3.66
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