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
12,453
Total Claims
$1.7M
Drug Cost
228
Beneficiaries
$7,630
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-42%
Opioid rate vs peers
2.2% vs 3.8% avg
+550%
Cost per patient vs peers
$7,630 vs $1,174 avg
+109%
Brand preference vs peers
18.6% vs 8.9% avg
🔎 Data Overview
Cost per patient is 550% 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
2.2%
Opioid Rate
275
Opioid Claims
$21K
Opioid Cost
22.2%
Long-Acting Rate
Brand vs Generic
Brand: 2,304 claims · $1.2M
Generic: 10,109 claims · $518K
Patient Profile
72
Avg Age
71%
Female
2.96
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