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
229
Total Claims
$31K
Drug Cost
21
Beneficiaries
$1,454
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+760%
Opioid rate vs peers
43.2% vs 5.0% avg
+70%
Cost per patient vs peers
$1,454 vs $856 avg
+70%
Brand preference vs peers
14.0% vs 8.2% 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 760% above the average for Specialist 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
43.2%
Opioid Rate
99
Opioid Claims
$24K
Opioid Cost
41.4%
Long-Acting Rate
This provider's opioid prescribing rate of 43.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 32 claims · $21K
Generic: 197 claims · $9,060
Patient Profile
71
Avg Age
—
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