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
60
Total Claims
$1,674
Drug Cost
32
Beneficiaries
$52
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,439 Critical Care (Intensivists) providers
+3997%
Opioid rate vs peers
48.3% vs 1.2% avg
-99%
Cost per patient vs peers
$52 vs $5,023 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 3,997% above the average for Critical Care (Intensivists) 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
48.3%
Opioid Rate
29
Opioid Claims
$77
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 48.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 56 claims · $438
Patient Profile
69
Avg Age
53%
Female
0.77
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