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
144
Total Claims
$9,652
Drug Cost
49
Beneficiaries
$197
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+322%
Opioid rate vs peers
16.0% vs 3.8% avg
-83%
Cost per patient vs peers
$197 vs $1,174 avg
+41%
Brand preference vs peers
12.5% vs 8.9% avg
🔎 Data Overview
Opioid rate is 322% above Nurse Practitioner peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 2 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
16.0%
Opioid Rate
23
Opioid Claims
$68
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 18 claims · $6,546
Generic: 126 claims · $3,105
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ampicillin Sod/Sulbactam Sod | 17 | $1,502 |
| Oxycodone Hcl | 18 | $49 |
Prescribing Profile
2
Unique Drugs
6.0
Anomaly Score
Patient Profile
71
Avg Age
37%
Female
2.46
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