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
2,579
Total Claims
$220K
Drug Cost
112
Beneficiaries
$1,967
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+1056%
Opioid rate vs peers
58.1% vs 5.0% avg
+130%
Cost per patient vs peers
$1,967 vs $856 avg
-3%
Brand preference vs peers
8.0% vs 8.2% 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 1,056% above the average for Specialist 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
58.1%
Opioid Rate
1,498
Opioid Claims
$188K
Opioid Cost
37.7%
Long-Acting Rate
This provider's opioid prescribing rate of 58.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 206 claims · $126K
Generic: 2,373 claims · $94K
Patient Profile
63
Avg Age
48%
Female
1.43
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