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
287
Total Claims
$17K
Drug Cost
104
Beneficiaries
$163
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 476 Registered Nurse providers
+1911%
Opioid rate vs peers
55.4% vs 2.8% avg
-85%
Cost per patient vs peers
$163 vs $1,120 avg
-21%
Brand preference vs peers
6.3% 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 1,911% 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
55.4%
Opioid Rate
159
Opioid Claims
$12K
Opioid Cost
19.5%
Long-Acting Rate
This provider's opioid prescribing rate of 55.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $8,005
Generic: 269 claims · $8,986
Patient Profile
68
Avg Age
65%
Female
1.30
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