⚠️

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 →

Genice NelsonAPRN

Nurse Practitioner · Farmington, CT 06030

NPI: 1699816090

Share:𝕏fin

32

🟠 Elevated

Risk Flags

High opioid rate vs specialty peersExtreme cost outlier (population + peer)High brand-name preferenceHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

129

Total Claims

$432K

Drug Cost

23

Beneficiaries

$19K

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Cost per patient outlier+10
Long-acting opioid rate+8
Brand-name preference+4

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+720%

Opioid rate vs peers

31.0% vs 3.8% avg

+1498%

Cost per patient vs peers

$19K vs $1,174 avg

+337%

Brand preference vs peers

38.8% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

31.0%

Opioid Rate

40

Opioid Claims

$11K

Opioid Cost

35.0%

Long-Acting Rate

This provider's opioid prescribing rate of 31.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

61% generic

Brand: 50 claims · $330K

Generic: 79 claims · $102K

Patient Profile

38

Avg Age

Female

3.97

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