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
787
Total Claims
$42K
Drug Cost
85
Beneficiaries
$490
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+923%
Opioid rate vs peers
41.6% vs 4.1% avg
-92%
Cost per patient vs peers
$490 vs $6,039 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
41.6%
Opioid Rate
327
Opioid Claims
$21K
Opioid Cost
36.7%
Long-Acting Rate
This provider's opioid prescribing rate of 41.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 757 claims · $33K
Patient Profile
68
Avg Age
64%
Female
1.72
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