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
26,094
Total Claims
$1.3M
Drug Cost
252
Beneficiaries
$4,994
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,743 Pediatric Medicine providers
-51%
Opioid rate vs peers
0.8% vs 1.6% avg
+138%
Cost per patient vs peers
$4,994 vs $2,098 avg
-27%
Brand preference vs peers
10.9% vs 15.1% avg
Opioid Prescribing
0.8%
Opioid Rate
203
Opioid Claims
$4,969
Opioid Cost
7.9%
Long-Acting Rate
Brand vs Generic
Brand: 2,837 claims · $770K
Generic: 23,108 claims · $478K
Patient Profile
76
Avg Age
57%
Female
2.56
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