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
9,355
Total Claims
$5.9M
Drug Cost
722
Beneficiaries
$8,121
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+696%
Opioid rate vs peers
32.3% vs 4.1% avg
+34%
Cost per patient vs peers
$8,121 vs $6,039 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
32.3%
Opioid Rate
3,025
Opioid Claims
$148K
Opioid Cost
0.6%
Long-Acting Rate
This provider's opioid prescribing rate of 32.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 8,526 claims · $406K
Patient Profile
68
Avg Age
84%
Female
1.88
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