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
6,521
Total Claims
$298K
Drug Cost
416
Beneficiaries
$716
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+38%
Opioid rate vs peers
57.0% vs 41.3% avg
+80%
Cost per patient vs peers
$716 vs $399 avg
-8%
Brand preference vs peers
3.5% vs 3.8% avg
Opioid Prescribing
57.0%
Opioid Rate
3,716
Opioid Claims
$190K
Opioid Cost
20.3%
Long-Acting Rate
This provider's opioid prescribing rate of 57.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 225 claims · $91K
Generic: 6,296 claims · $207K
Patient Profile
67
Avg Age
64%
Female
1.62
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