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
124
Total Claims
$3,842
Drug Cost
48
Beneficiaries
$80
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+241%
Opioid rate vs peers
12.9% vs 3.8% avg
-93%
Cost per patient vs peers
$80 vs $1,174 avg
🔎 Data Overview
Opioid rate is 241% above Nurse Practitioner peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 3 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
12.9%
Opioid Rate
16
Opioid Claims
$312
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 118 claims · $1,692
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Tizanidine Hcl | 42 | $578 |
| Gabapentin | 13 | $305 |
| Acetaminophen With Codeine | 13 | $303 |
Prescribing Profile
3
Unique Drugs
6.0
Anomaly Score
Patient Profile
63
Avg Age
69%
Female
1.59
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