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
3,388
Total Claims
$492K
Drug Cost
65
Beneficiaries
$7,570
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+34%
Opioid rate vs peers
5.1% vs 3.8% avg
+545%
Cost per patient vs peers
$7,570 vs $1,174 avg
+65%
Brand preference vs peers
14.6% vs 8.9% avg
🔎 Data Overview
Cost per patient is 545% 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
5.1%
Opioid Rate
172
Opioid Claims
$8,790
Opioid Cost
27.9%
Long-Acting Rate
Brand vs Generic
Brand: 491 claims · $363K
Generic: 2,875 claims · $118K
Patient Profile
70
Avg Age
37%
Female
3.60
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