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
203
Total Claims
$284K
Drug Cost
101
Beneficiaries
$2,815
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+3474%
Opioid rate vs peers
45.8% vs 1.3% avg
+648%
Cost per patient vs peers
$2,815 vs $376 avg
+59%
Brand preference vs peers
19.2% vs 12.1% 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 3,474% above the average for Obstetrics & Gynecology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 648% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
45.8%
Opioid Rate
93
Opioid Claims
$427
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 45.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 39 claims · $282K
Generic: 164 claims · $1,940
Patient Profile
71
Avg Age
100%
Female
1.20
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