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 →🤖 ML Fraud Detection Score: 87%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
405
Total Claims
$28K
Drug Cost
15
Beneficiaries
$1,845
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+2751%
Opioid rate vs peers
37.3% vs 1.3% avg
-54%
Cost per patient vs peers
$1,845 vs $4,034 avg
-69%
Brand preference vs peers
3.0% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
37.3%
Opioid Rate
151
Opioid Claims
$20K
Opioid Cost
7.9%
Long-Acting Rate
This provider's opioid prescribing rate of 37.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $15K
Generic: 393 claims · $13K
Patient Profile
63
Avg Age
—
Female
2.02
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About