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
9,414
Total Claims
$2.3M
Drug Cost
717
Beneficiaries
$3,243
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+4013%
Opioid rate vs peers
53.8% vs 1.3% avg
-20%
Cost per patient vs peers
$3,243 vs $4,034 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 4,013% 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
53.8%
Opioid Rate
5,064
Opioid Claims
$571K
Opioid Cost
25.7%
Long-Acting Rate
This provider's opioid prescribing rate of 53.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 8,527 claims · $327K
Patient Profile
66
Avg Age
57%
Female
1.95
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