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
279
Total Claims
$348K
Drug Cost
51
Beneficiaries
$6,821
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 616 Sleep Medicine providers
+1009%
Opioid rate vs peers
17.6% vs 1.6% avg
+208%
Cost per patient vs peers
$6,821 vs $2,215 avg
-7%
Brand preference vs peers
13.3% vs 14.3% 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 1,009% above the average for Sleep Medicine 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
17.6%
Opioid Rate
49
Opioid Claims
$614
Opioid Cost
100.0%
Long-Acting Rate
Brand vs Generic
Brand: 37 claims · $343K
Generic: 242 claims · $4,668
Patient Profile
70
Avg Age
47%
Female
1.65
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