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
362
Total Claims
$233K
Drug Cost
60
Beneficiaries
$3,885
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1852%
Opioid rate vs peers
50.0% vs 2.6% avg
+214%
Cost per patient vs peers
$3,885 vs $1,237 avg
+117%
Brand preference vs peers
19.9% 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 1,852% 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
50.0%
Opioid Rate
181
Opioid Claims
$6,836
Opioid Cost
29.3%
Long-Acting Rate
This provider's opioid prescribing rate of 50.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 72 claims · $206K
Generic: 290 claims · $27K
Patient Profile
50
Avg Age
68%
Female
4.46
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