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
1,660
Total Claims
$59K
Drug Cost
77
Beneficiaries
$764
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+1028%
Opioid rate vs peers
56.7% vs 5.0% avg
-11%
Cost per patient vs peers
$764 vs $856 avg
-84%
Brand preference vs peers
1.3% vs 8.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.7%
Opioid Rate
941
Opioid Claims
$47K
Opioid Cost
28.2%
Long-Acting Rate
This provider's opioid prescribing rate of 56.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 22 claims · $5,232
Generic: 1,638 claims · $54K
Patient Profile
67
Avg Age
66%
Female
3.08
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