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
553
Total Claims
$780K
Drug Cost
127
Beneficiaries
$6,140
Cost/Patient
Risk Score Breakdown 14/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+206%
Opioid rate vs peers
11.6% vs 3.8% avg
+423%
Cost per patient vs peers
$6,140 vs $1,174 avg
+102%
Brand preference vs peers
17.9% vs 8.9% avg
🔎 Data Overview
Opioid rate is 206% above Nurse Practitioner peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
11.6%
Opioid Rate
64
Opioid Claims
$7,001
Opioid Cost
25.0%
Long-Acting Rate
Brand vs Generic
Brand: 99 claims · $691K
Generic: 454 claims · $89K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 35 | $26K |
| Anastrozole | 67 | $2,515 |
| Ondansetron Hcl | 38 | $866 |
| Hydroxyurea | 24 | $848 |
| Tamoxifen Citrate | 15 | $729 |
| Hydrocodone/Acetaminophen | 25 | $714 |
| Prochlorperazine Maleate | 28 | $488 |
| Doxycycline Hyclate | 13 | $385 |
| Lidocaine/Prilocaine | 18 | $233 |
| Potassium Chloride | 12 | $158 |
| Acyclovir | 11 | $150 |
| Dexamethasone | 14 | $147 |
| Prednisone | 17 | $76 |
| Furosemide | 18 | $49 |
Prescribing Profile
Patient Profile
74
Avg Age
63%
Female
2.15
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About