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
258
Total Claims
$5,384
Drug Cost
108
Beneficiaries
$50
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,757 Ophthalmology providers
-92%
Cost per patient vs peers
$50 vs $600 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.8%
Opioid Rate
95
Opioid Claims
$479
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 36.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 249 claims · $4,529
Patient Profile
73
Avg Age
54%
Female
1.09
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