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
936
Total Claims
$46K
Drug Cost
38
Beneficiaries
$1,202
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 350 Addiction Medicine providers
+1687%
Opioid rate vs peers
77.2% vs 4.3% avg
-15%
Cost per patient vs peers
$1,202 vs $1,415 avg
+4%
Brand preference vs peers
8.4% vs 8.1% 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 1,687% above the average for Addiction 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
77.2%
Opioid Rate
723
Opioid Claims
$10K
Opioid Cost
3.5%
Long-Acting Rate
This provider's opioid prescribing rate of 77.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 79 claims · $32K
Generic: 857 claims · $14K
Patient Profile
64
Avg Age
45%
Female
1.44
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