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
52
Total Claims
$554
Drug Cost
47
Beneficiaries
$12
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 132 Neurological Surgery providers
+306%
Opioid rate vs peers
88.5% vs 21.8% avg
-93%
Cost per patient vs peers
$12 vs $180 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 306% above Neurological Surgery peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
88.5%
Opioid Rate
46
Opioid Claims
$181
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 88.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 52 claims · $554
Patient Profile
61
Avg Age
34%
Female
1.72
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About