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
1,648
Total Claims
$248K
Drug Cost
293
Beneficiaries
$847
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+2438%
Opioid rate vs peers
33.2% vs 1.3% avg
-79%
Cost per patient vs peers
$847 vs $4,034 avg
+39%
Brand preference vs peers
13.1% vs 9.4% 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 2,438% above the average for Neurology 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
33.2%
Opioid Rate
547
Opioid Claims
$92K
Opioid Cost
41.9%
Long-Acting Rate
This provider's opioid prescribing rate of 33.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 216 claims · $163K
Generic: 1,432 claims · $86K
Patient Profile
69
Avg Age
66%
Female
1.55
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