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
1,021
Total Claims
$77K
Drug Cost
144
Beneficiaries
$536
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 476 Registered Nurse providers
+1766%
Opioid rate vs peers
51.4% vs 2.8% avg
-52%
Cost per patient vs peers
$536 vs $1,120 avg
-83%
Brand preference vs peers
1.4% 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 1,766% 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
51.4%
Opioid Rate
525
Opioid Claims
$67K
Opioid Cost
27.0%
Long-Acting Rate
This provider's opioid prescribing rate of 51.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $6,573
Generic: 1,007 claims · $71K
Patient Profile
64
Avg Age
45%
Female
1.52
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