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.
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🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,865
Total Claims
$1.1M
Drug Cost
200
Beneficiaries
$5,650
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-75%
Opioid rate vs peers
0.9% vs 3.8% avg
+381%
Cost per patient vs peers
$5,650 vs $1,174 avg
+97%
Brand preference vs peers
17.5% vs 8.9% avg
Opioid Prescribing
0.9%
Opioid Rate
64
Opioid Claims
$13K
Opioid Cost
31.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,193 claims · $971K
Generic: 5,632 claims · $157K
Patient Profile
80
Avg Age
67%
Female
2.47
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