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
16,465
Total Claims
$8.1M
Drug Cost
964
Beneficiaries
$8,451
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+431%
Opioid rate vs peers
21.5% vs 4.1% avg
+40%
Cost per patient vs peers
$8,451 vs $6,039 avg
+92%
Brand preference vs peers
14.6% vs 7.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
21.5%
Opioid Rate
3,547
Opioid Claims
$79K
Opioid Cost
0.9%
Long-Acting Rate
This provider's opioid prescribing rate of 21.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 2,393 claims · $7.8M
Generic: 13,988 claims · $351K
Patient Profile
67
Avg Age
84%
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