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
480
Total Claims
$70K
Drug Cost
136
Beneficiaries
$514
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+3548%
Opioid rate vs peers
47.7% vs 1.3% avg
-87%
Cost per patient vs peers
$514 vs $4,034 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 3,548% 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
47.7%
Opioid Rate
229
Opioid Claims
$34K
Opioid Cost
31.4%
Long-Acting Rate
This provider's opioid prescribing rate of 47.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $38K
Generic: 435 claims · $32K
Patient Profile
65
Avg Age
65%
Female
2.03
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