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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 →

Peter CarneyM.D.

Neurosurgery · Elkhart, IN 46516

NPI: 1174516496

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33

🟠 Elevated

Risk Flags

High opioid rate vs specialty peers99th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

1,759

Total Claims

$245K

Drug Cost

123

Beneficiaries

$1,990

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+15
Opioid rate vs specialty peers+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 2,419 Neurosurgery providers

+153%

Opioid rate vs peers

68.3% vs 27.0% avg

+1099%

Cost per patient vs peers

$1,990 vs $166 avg

+1108%

Brand preference vs peers

14.7% vs 1.2% avg

Opioid Prescribing

68.3%

Opioid Rate

1,202

Opioid Claims

$218K

Opioid Cost

24.4%

Long-Acting Rate

This provider's opioid prescribing rate of 68.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

85% generic

Brand: 258 claims · $190K

Generic: 1,501 claims · $55K

Patient Profile

66

Avg Age

58%

Female

1.75

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