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
1,473
Total Claims
$98K
Drug Cost
177
Beneficiaries
$556
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+2044%
Opioid rate vs peers
54.9% vs 2.6% avg
-55%
Cost per patient vs peers
$556 vs $1,237 avg
-33%
Brand preference vs peers
6.1% vs 9.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 2,044% above the average for Geriatric Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
54.9%
Opioid Rate
809
Opioid Claims
$74K
Opioid Cost
32.9%
Long-Acting Rate
This provider's opioid prescribing rate of 54.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 90 claims · $43K
Generic: 1,383 claims · $55K
Patient Profile
71
Avg Age
59%
Female
3.72
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