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
1,343
Total Claims
$80K
Drug Cost
114
Beneficiaries
$701
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1898%
Opioid rate vs peers
75.6% vs 3.8% avg
-40%
Cost per patient vs peers
$701 vs $1,174 avg
-26%
Brand preference vs peers
6.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
75.6%
Opioid Rate
1,015
Opioid Claims
$46K
Opioid Cost
13.1%
Long-Acting Rate
This provider's opioid prescribing rate of 75.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 88 claims · $40K
Generic: 1,255 claims · $40K
Patient Profile
71
Avg Age
66%
Female
1.52
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