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
14,161
Total Claims
$4.3M
Drug Cost
699
Beneficiaries
$6,201
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+895%
Opioid rate vs peers
13.0% vs 1.3% avg
+54%
Cost per patient vs peers
$6,201 vs $4,034 avg
+20%
Brand preference vs peers
11.3% vs 9.4% avg
🔎 Data Overview
Opioid prescribing rate is 895% 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
13.0%
Opioid Rate
1,843
Opioid Claims
$29K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,589 claims · $3.6M
Generic: 12,433 claims · $725K
Patient Profile
64
Avg Age
60%
Female
1.79
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