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
213
Total Claims
$12K
Drug Cost
61
Beneficiaries
$203
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1842%
Opioid rate vs peers
49.8% vs 2.6% avg
-84%
Cost per patient vs peers
$203 vs $1,237 avg
+18%
Brand preference vs peers
10.8% vs 9.2% 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 1,842% above the average for Geriatric 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
49.8%
Opioid Rate
106
Opioid Claims
$9,697
Opioid Cost
16.0%
Long-Acting Rate
This provider's opioid prescribing rate of 49.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $5,730
Generic: 190 claims · $6,683
Patient Profile
75
Avg Age
59%
Female
3.05
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