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
294
Total Claims
$19K
Drug Cost
132
Beneficiaries
$147
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+2542%
Opioid rate vs peers
67.7% vs 2.6% avg
-88%
Cost per patient vs peers
$147 vs $1,237 avg
-30%
Brand preference vs peers
6.5% 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 2,542% 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
67.7%
Opioid Rate
199
Opioid Claims
$15K
Opioid Cost
38.7%
Long-Acting Rate
This provider's opioid prescribing rate of 67.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 19 claims · $10K
Generic: 275 claims · $9,329
Patient Profile
71
Avg Age
49%
Female
2.95
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