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
3,737
Total Claims
$166K
Drug Cost
570
Beneficiaries
$291
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,680 Certified Clinical Nurse Specialist providers
+1882%
Opioid rate vs peers
61.9% vs 3.1% avg
-83%
Cost per patient vs peers
$291 vs $1,684 avg
-74%
Brand preference vs peers
2.5% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.9%
Opioid Rate
2,315
Opioid Claims
$121K
Opioid Cost
14.6%
Long-Acting Rate
This provider's opioid prescribing rate of 61.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 93 claims · $57K
Generic: 3,644 claims · $109K
Patient Profile
74
Avg Age
60%
Female
1.66
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