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
2,475
Total Claims
$175K
Drug Cost
153
Beneficiaries
$1,145
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+1331%
Opioid rate vs peers
71.9% vs 5.0% avg
+34%
Cost per patient vs peers
$1,145 vs $856 avg
+4%
Brand preference vs peers
8.5% vs 8.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.9%
Opioid Rate
1,780
Opioid Claims
$162K
Opioid Cost
27.8%
Long-Acting Rate
This provider's opioid prescribing rate of 71.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 211 claims · $124K
Generic: 2,264 claims · $51K
Patient Profile
67
Avg Age
61%
Female
1.36
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