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
22,823
Total Claims
$10.4M
Drug Cost
1,718
Beneficiaries
$6,061
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+416%
Opioid rate vs peers
21.0% vs 4.1% avg
0%
Cost per patient vs peers
$6,061 vs $6,039 avg
+42%
Brand preference vs peers
10.8% vs 7.6% avg
🔎 Data Overview
Opioid rate is 416% above Rheumatology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
21.0%
Opioid Rate
4,784
Opioid Claims
$110K
Opioid Cost
16.3%
Long-Acting Rate
This provider's opioid prescribing rate of 21.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 2,448 claims · $9.9M
Generic: 20,273 claims · $547K
Patient Profile
70
Avg Age
74%
Female
1.86
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About