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
10,473
Total Claims
$6.0M
Drug Cost
510
Beneficiaries
$12K
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+448%
Opioid rate vs peers
22.3% vs 4.1% avg
+93%
Cost per patient vs peers
$12K vs $6,039 avg
+68%
Brand preference vs peers
12.7% vs 7.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
22.3%
Opioid Rate
2,331
Opioid Claims
$130K
Opioid Cost
10.7%
Long-Acting Rate
This provider's opioid prescribing rate of 22.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,329 claims · $5.8M
Generic: 9,113 claims · $191K
Patient Profile
70
Avg Age
77%
Female
1.45
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