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
172
Total Claims
$13K
Drug Cost
35
Beneficiaries
$362
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 621 Diagnostic Radiology providers
+1104%
Opioid rate vs peers
66.9% vs 5.5% avg
-1%
Cost per patient vs peers
$362 vs $366 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 1,104% above the average for Diagnostic Radiology 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
66.9%
Opioid Rate
115
Opioid Claims
$2,463
Opioid Cost
22.6%
Long-Acting Rate
This provider's opioid prescribing rate of 66.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 164 claims · $3,089
Patient Profile
73
Avg Age
66%
Female
1.87
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