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
267
Total Claims
$6,069
Drug Cost
110
Beneficiaries
$55
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,757 Ophthalmology providers
-91%
Cost per patient vs peers
$55 vs $600 avg
-29%
Brand preference vs peers
26.2% vs 36.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
33.7%
Opioid Rate
90
Opioid Claims
$86
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 33.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 70 claims · $4,383
Generic: 197 claims · $1,687
Patient Profile
75
Avg Age
62%
Female
1.06
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