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
12,056
Total Claims
$1.8M
Drug Cost
469
Beneficiaries
$3,836
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 350 Addiction Medicine providers
+1289%
Opioid rate vs peers
60.1% vs 4.3% avg
+171%
Cost per patient vs peers
$3,836 vs $1,415 avg
+46%
Brand preference vs peers
11.8% vs 8.1% 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 1,289% above the average for Addiction 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
60.1%
Opioid Rate
7,240
Opioid Claims
$1.4M
Opioid Cost
32.3%
Long-Acting Rate
This provider's opioid prescribing rate of 60.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,427 claims · $1.2M
Generic: 10,629 claims · $603K
Patient Profile
64
Avg Age
61%
Female
1.83
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