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
5,160
Total Claims
$682K
Drug Cost
90
Beneficiaries
$7,581
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-54%
Opioid rate vs peers
1.7% vs 3.8% avg
+545%
Cost per patient vs peers
$7,581 vs $1,174 avg
+133%
Brand preference vs peers
20.7% 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
1.7%
Opioid Rate
89
Opioid Claims
$2,679
Opioid Cost
33.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,033 claims · $490K
Generic: 3,963 claims · $184K
Patient Profile
75
Avg Age
70%
Female
2.69
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