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
195
Total Claims
$107K
Drug Cost
49
Beneficiaries
$2,186
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+3155%
Opioid rate vs peers
42.6% vs 1.3% avg
-46%
Cost per patient vs peers
$2,186 vs $4,034 avg
+102%
Brand preference vs peers
19.0% 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 3,155% 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
42.6%
Opioid Rate
83
Opioid Claims
$6,286
Opioid Cost
59.0%
Long-Acting Rate
This provider's opioid prescribing rate of 42.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 37 claims · $99K
Generic: 158 claims · $8,474
Patient Profile
69
Avg Age
53%
Female
0.92
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