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
487
Total Claims
$34K
Drug Cost
70
Beneficiaries
$480
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1679%
Opioid rate vs peers
45.6% vs 2.6% avg
-61%
Cost per patient vs peers
$480 vs $1,237 avg
-10%
Brand preference vs peers
8.2% 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 1,679% 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
45.6%
Opioid Rate
222
Opioid Claims
$28K
Opioid Cost
37.4%
Long-Acting Rate
This provider's opioid prescribing rate of 45.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 40 claims · $21K
Generic: 447 claims · $12K
Patient Profile
65
Avg Age
56%
Female
3.82
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