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
7,950
Total Claims
$608K
Drug Cost
535
Beneficiaries
$1,136
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+48%
Opioid rate vs peers
61.1% vs 41.3% avg
+185%
Cost per patient vs peers
$1,136 vs $399 avg
+27%
Brand preference vs peers
4.8% vs 3.8% avg
Opioid Prescribing
61.1%
Opioid Rate
4,858
Opioid Claims
$396K
Opioid Cost
26.1%
Long-Acting Rate
This provider's opioid prescribing rate of 61.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 379 claims · $328K
Generic: 7,571 claims · $280K
Patient Profile
68
Avg Age
68%
Female
1.58
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