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
777
Total Claims
$1.3M
Drug Cost
30
Beneficiaries
$42K
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+1248%
Opioid rate vs peers
17.6% vs 1.3% avg
+940%
Cost per patient vs peers
$42K vs $4,034 avg
+44%
Brand preference vs peers
13.5% 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 1,248% above the average for Neurology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 940% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
17.6%
Opioid Rate
137
Opioid Claims
$3,216
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 105 claims · $1.2M
Generic: 672 claims · $18K
Patient Profile
56
Avg Age
—
Female
1.67
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