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
311
Total Claims
$16K
Drug Cost
153
Beneficiaries
$102
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,757 Ophthalmology providers
-83%
Cost per patient vs peers
$102 vs $600 avg
-79%
Brand preference vs peers
7.7% vs 36.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.7%
Opioid Rate
114
Opioid Claims
$505
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 36.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 24 claims · $12K
Generic: 287 claims · $3,695
Patient Profile
73
Avg Age
64%
Female
1.29
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