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 →34
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,347
Total Claims
$70K
Drug Cost
52
Beneficiaries
$1,346
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+980%
Opioid rate vs peers
40.8% vs 3.8% avg
+15%
Cost per patient vs peers
$1,346 vs $1,174 avg
-47%
Brand preference vs peers
4.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.8%
Opioid Rate
550
Opioid Claims
$43K
Opioid Cost
23.6%
Long-Acting Rate
This provider's opioid prescribing rate of 40.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 63 claims · $34K
Generic: 1,284 claims · $36K
Patient Profile
64
Avg Age
48%
Female
1.28
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