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
1,505
Total Claims
$230K
Drug Cost
52
Beneficiaries
$4,423
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+845%
Opioid rate vs peers
47.5% vs 5.0% avg
+417%
Cost per patient vs peers
$4,423 vs $856 avg
+1%
Brand preference vs peers
8.3% vs 8.2% 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 845% above the average for Specialist 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
47.5%
Opioid Rate
715
Opioid Claims
$170K
Opioid Cost
21.5%
Long-Acting Rate
This provider's opioid prescribing rate of 47.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 125 claims · $152K
Generic: 1,380 claims · $78K
Patient Profile
62
Avg Age
44%
Female
1.62
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