Is my retention good or bad?

I've been answering all the cards honestly, but I've been a bit generous with the "Again" button, as I noticed I sometimes pressed "Good" when I didn't really know the material well. Currently, I have 11,000 unsuspended cards in Anking, and my retention rate has correlated with my NBME scores. How do I get better?

https://preview.redd.it/tkygtg9j123d1.png?width=1436&format=png&auto=webp&s=5ee7a2a5d44794538d8fc089a58e265bc163071d