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
1,200
Total Claims
$441K
Drug Cost
114
Beneficiaries
$3,870
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+3481%
Opioid rate vs peers
46.8% vs 1.3% avg
-4%
Cost per patient vs peers
$3,870 vs $4,034 avg
+77%
Brand preference vs peers
16.7% vs 9.4% 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 3,481% above the average for Neurology 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
46.8%
Opioid Rate
562
Opioid Claims
$68K
Opioid Cost
27.8%
Long-Acting Rate
This provider's opioid prescribing rate of 46.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 200 claims · $410K
Generic: 1,000 claims · $31K
Patient Profile
68
Avg Age
68%
Female
1.35
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