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
178
Total Claims
$8,443
Drug Cost
36
Beneficiaries
$235
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+716%
Opioid rate vs peers
41.0% vs 5.0% avg
-73%
Cost per patient vs peers
$235 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 716% 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
41.0%
Opioid Rate
73
Opioid Claims
$2,468
Opioid Cost
32.9%
Long-Acting Rate
This provider's opioid prescribing rate of 41.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 171 claims · $4,972
Patient Profile
63
Avg Age
33%
Female
1.03
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