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
11,036
Total Claims
$5.1M
Drug Cost
169
Beneficiaries
$30K
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-81%
Opioid rate vs peers
0.7% vs 3.8% avg
+2447%
Cost per patient vs peers
$30K vs $1,174 avg
+390%
Brand preference vs peers
43.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 2447% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
0.7%
Opioid Rate
80
Opioid Claims
$2,240
Opioid Cost
15.0%
Long-Acting Rate
Brand vs Generic
Brand: 4,716 claims · $4.2M
Generic: 6,129 claims · $821K
Patient Profile
82
Avg Age
67%
Female
2.96
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