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
351
Total Claims
$38K
Drug Cost
77
Beneficiaries
$499
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+1577%
Opioid rate vs peers
68.1% vs 4.1% avg
-92%
Cost per patient vs peers
$499 vs $6,039 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
68.1%
Opioid Rate
239
Opioid Claims
$5,094
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 68.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 346 claims · $8,940
Patient Profile
73
Avg Age
75%
Female
1.39
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