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
295
Total Claims
$25K
Drug Cost
81
Beneficiaries
$305
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+1429%
Opioid rate vs peers
20.0% vs 1.3% avg
-92%
Cost per patient vs peers
$305 vs $4,034 avg
+12%
Brand preference vs peers
10.5% 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 1,429% 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
20.0%
Opioid Rate
59
Opioid Claims
$6,726
Opioid Cost
40.7%
Long-Acting Rate
Brand vs Generic
Brand: 31 claims · $17K
Generic: 264 claims · $7,406
Patient Profile
67
Avg Age
59%
Female
2.32
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