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
153
Total Claims
$13K
Drug Cost
35
Beneficiaries
$383
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1456%
Opioid rate vs peers
39.9% vs 2.6% avg
-69%
Cost per patient vs peers
$383 vs $1,237 avg
-15%
Brand preference vs peers
7.8% vs 9.2% 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 1,456% above the average for Geriatric 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
39.9%
Opioid Rate
61
Opioid Claims
$11K
Opioid Cost
24.6%
Long-Acting Rate
This provider's opioid prescribing rate of 39.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $8,568
Generic: 141 claims · $4,852
Patient Profile
70
Avg Age
51%
Female
3.77
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