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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
515
Total Claims
$176K
Drug Cost
138
Beneficiaries
$1,274
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 476 Registered Nurse providers
+1239%
Opioid rate vs peers
36.9% vs 2.8% avg
+14%
Cost per patient vs peers
$1,274 vs $1,120 avg
+403%
Brand preference vs peers
40.0% vs 8.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,239% above the average for Registered Nurse providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
36.9%
Opioid Rate
190
Opioid Claims
$33K
Opioid Cost
32.1%
Long-Acting Rate
This provider's opioid prescribing rate of 36.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 206 claims · $154K
Generic: 309 claims · $22K
Patient Profile
67
Avg Age
66%
Female
2.23
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.Methodology · About