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
17,172
Total Claims
$3.0M
Drug Cost
308
Beneficiaries
$9,627
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-34%
Opioid rate vs peers
2.5% vs 3.8% avg
+720%
Cost per patient vs peers
$9,627 vs $1,174 avg
+79%
Brand preference vs peers
15.9% vs 8.9% avg
🔎 Data Overview
Cost per patient is 720% 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
2.5%
Opioid Rate
426
Opioid Claims
$55K
Opioid Cost
24.4%
Long-Acting Rate
Brand vs Generic
Brand: 2,721 claims · $1.6M
Generic: 14,407 claims · $1.3M
Patient Profile
76
Avg Age
71%
Female
3.09
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