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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,412
Total Claims
$168K
Drug Cost
206
Beneficiaries
$815
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,680 Certified Clinical Nurse Specialist providers
+1699%
Opioid rate vs peers
56.2% vs 3.1% avg
-52%
Cost per patient vs peers
$815 vs $1,684 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.2%
Opioid Rate
794
Opioid Claims
$123K
Opioid Cost
45.1%
Long-Acting Rate
This provider's opioid prescribing rate of 56.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,220 claims · $62K
Patient Profile
69
Avg Age
54%
Female
3.35
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