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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,820
Total Claims
$92K
Drug Cost
118
Beneficiaries
$783
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,680 Certified Clinical Nurse Specialist providers
+1320%
Opioid rate vs peers
44.4% vs 3.1% avg
-54%
Cost per patient vs peers
$783 vs $1,684 avg
+37%
Brand preference vs peers
12.9% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
44.4%
Opioid Rate
808
Opioid Claims
$52K
Opioid Cost
30.4%
Long-Acting Rate
This provider's opioid prescribing rate of 44.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 235 claims · $39K
Generic: 1,585 claims · $54K
Patient Profile
69
Avg Age
64%
Female
2.64
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