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
642
Total Claims
$40K
Drug Cost
274
Beneficiaries
$145
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
-91%
Cost per patient vs peers
$145 vs $1,524 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.5%
Opioid Rate
369
Opioid Claims
$16K
Opioid Cost
4.1%
Long-Acting Rate
This provider's opioid prescribing rate of 57.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 604 claims · $16K
Patient Profile
67
Avg Age
61%
Female
1.96
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