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
228
Total Claims
$18K
Drug Cost
48
Beneficiaries
$381
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+236%
Opioid rate vs peers
12.7% vs 3.8% avg
-68%
Cost per patient vs peers
$381 vs $1,174 avg
🔎 Data Overview
Opioid rate is 236% above Nurse Practitioner peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 3 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.7%
Opioid Rate
29
Opioid Claims
$290
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 201 claims · $8,216
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Tramadol Hcl | 13 | $177 |
| Hydrocodone/Acetaminophen | 13 | $91 |
| Prednisone | 11 | $26 |
Prescribing Profile
3
Unique Drugs
6.0
Anomaly Score
Patient Profile
70
Avg Age
67%
Female
1.23
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 of wrongdoing.Methodology · About · Dispute this data