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
22,688
Total Claims
$1.9M
Drug Cost
264
Beneficiaries
$7,364
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+37%
Opioid rate vs peers
5.2% vs 3.8% avg
+527%
Cost per patient vs peers
$7,364 vs $1,174 avg
+69%
Brand preference vs peers
15.0% vs 8.9% avg
🔎 Data Overview
Cost per patient is 527% 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
5.2%
Opioid Rate
1,179
Opioid Claims
$19K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,364 claims · $1.6M
Generic: 19,114 claims · $301K
Patient Profile
66
Avg Age
55%
Female
1.38
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