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
9,162
Total Claims
$1.4M
Drug Cost
115
Beneficiaries
$12K
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-45%
Opioid rate vs peers
2.1% vs 3.8% avg
+913%
Cost per patient vs peers
$12K vs $1,174 avg
+87%
Brand preference vs peers
16.6% 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 913% 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
2.1%
Opioid Rate
191
Opioid Claims
$17K
Opioid Cost
21.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,508 claims · $1.0M
Generic: 7,568 claims · $357K
Patient Profile
71
Avg Age
53%
Female
2.74
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