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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,605
Total Claims
$1.2M
Drug Cost
127
Beneficiaries
$9,386
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
-6%
Opioid rate vs peers
3.6% vs 3.8% avg
+699%
Cost per patient vs peers
$9,386 vs $1,174 avg
+144%
Brand preference vs peers
21.6% vs 8.9% avg
🔎 Data Overview
Cost per patient is 699% 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
3.6%
Opioid Rate
271
Opioid Claims
$39K
Opioid Cost
62.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,636 claims · $753K
Generic: 5,939 claims · $438K
Patient Profile
74
Avg Age
62%
Female
3.74
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