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
3,214
Total Claims
$155K
Drug Cost
357
Beneficiaries
$433
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+2553%
Opioid rate vs peers
34.7% vs 1.3% avg
-89%
Cost per patient vs peers
$433 vs $4,034 avg
-65%
Brand preference vs peers
3.3% 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 2,553% 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
34.7%
Opioid Rate
1,115
Opioid Claims
$75K
Opioid Cost
7.7%
Long-Acting Rate
This provider's opioid prescribing rate of 34.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 107 claims · $51K
Generic: 3,107 claims · $103K
Patient Profile
66
Avg Age
54%
Female
1.15
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