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
2,275
Total Claims
$386K
Drug Cost
141
Beneficiaries
$2,736
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+4202%
Opioid rate vs peers
56.3% vs 1.3% avg
-32%
Cost per patient vs peers
$2,736 vs $4,034 avg
+127%
Brand preference vs peers
21.3% vs 9.4% 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 4,202% above the average for Neurology 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
56.3%
Opioid Rate
1,280
Opioid Claims
$189K
Opioid Cost
28.0%
Long-Acting Rate
This provider's opioid prescribing rate of 56.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 485 claims · $283K
Generic: 1,790 claims · $103K
Patient Profile
61
Avg Age
65%
Female
1.11
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