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
147
Total Claims
$19K
Drug Cost
12
Beneficiaries
$1,619
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+1010%
Opioid rate vs peers
55.8% vs 5.0% avg
+89%
Cost per patient vs peers
$1,619 vs $856 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 1,010% above the average for Specialist 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
55.8%
Opioid Rate
82
Opioid Claims
$5,102
Opioid Cost
45.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 137 claims · $10K
Patient Profile
64
Avg Age
—
Female
0.70
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