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 →🤖 ML Fraud Detection Score: 87%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
760
Total Claims
$30K
Drug Cost
24
Beneficiaries
$1,261
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 476 Registered Nurse providers
+1295%
Opioid rate vs peers
38.4% vs 2.8% avg
+13%
Cost per patient vs peers
$1,261 vs $1,120 avg
-54%
Brand preference vs peers
3.7% vs 8.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
38.4%
Opioid Rate
292
Opioid Claims
$21K
Opioid Cost
14.7%
Long-Acting Rate
This provider's opioid prescribing rate of 38.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 28 claims · $6,005
Generic: 732 claims · $24K
Patient Profile
58
Avg Age
—
Female
0.68
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