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
279
Total Claims
$19K
Drug Cost
79
Beneficiaries
$241
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 900 Certified Nurse Midwife providers
-22%
Cost per patient vs peers
$241 vs $310 avg
-52%
Brand preference vs peers
3.9% vs 8.3% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
38.0%
Opioid Rate
106
Opioid Claims
$5,640
Opioid Cost
12.3%
Long-Acting Rate
This provider's opioid prescribing rate of 38.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $11K
Generic: 268 claims · $7,795
Patient Profile
66
Avg Age
67%
Female
1.68
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