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
950
Total Claims
$46K
Drug Cost
128
Beneficiaries
$357
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,439 Critical Care (Intensivists) providers
+2523%
Opioid rate vs peers
30.9% vs 1.2% avg
-93%
Cost per patient vs peers
$357 vs $5,023 avg
-79%
Brand preference vs peers
11.1% vs 53.0% 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 2,523% above the average for Critical Care (Intensivists) 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
30.9%
Opioid Rate
294
Opioid Claims
$10K
Opioid Cost
34.7%
Long-Acting Rate
This provider's opioid prescribing rate of 30.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 105 claims · $26K
Generic: 845 claims · $20K
Patient Profile
75
Avg Age
63%
Female
3.00
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