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
895
Total Claims
$112K
Drug Cost
78
Beneficiaries
$1,437
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 621 Diagnostic Radiology providers
+954%
Opioid rate vs peers
58.5% vs 5.5% avg
+293%
Cost per patient vs peers
$1,437 vs $366 avg
-31%
Brand preference vs peers
7.2% vs 10.3% 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 954% above the average for Diagnostic Radiology 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
58.5%
Opioid Rate
524
Opioid Claims
$69K
Opioid Cost
21.6%
Long-Acting Rate
This provider's opioid prescribing rate of 58.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 64 claims · $55K
Generic: 831 claims · $57K
Patient Profile
62
Avg Age
53%
Female
1.43
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