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 →Sheena CarswellC.N.S.
Certified Clinical Nurse Specialist · Durango, CO 81301
NPI: 1649246976
31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
315
Total Claims
$13K
Drug Cost
43
Beneficiaries
$297
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,680 Certified Clinical Nurse Specialist providers
+1190%
Opioid rate vs peers
40.3% vs 3.1% avg
-82%
Cost per patient vs peers
$297 vs $1,684 avg
-56%
Brand preference vs peers
4.1% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.3%
Opioid Rate
127
Opioid Claims
$4,371
Opioid Cost
33.1%
Long-Acting Rate
This provider's opioid prescribing rate of 40.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 13 claims · $5,313
Generic: 302 claims · $7,459
Patient Profile
77
Avg Age
54%
Female
2.78
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