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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,736
Total Claims
$244K
Drug Cost
416
Beneficiaries
$587
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,680 Certified Clinical Nurse Specialist providers
+1731%
Opioid rate vs peers
57.2% vs 3.1% avg
-65%
Cost per patient vs peers
$587 vs $1,684 avg
-26%
Brand preference vs peers
7.0% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.2%
Opioid Rate
2,138
Opioid Claims
$198K
Opioid Cost
17.4%
Long-Acting Rate
This provider's opioid prescribing rate of 57.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 260 claims · $121K
Generic: 3,476 claims · $123K
Patient Profile
70
Avg Age
65%
Female
1.95
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.Methodology · About