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
22,828
Total Claims
$6.3M
Drug Cost
1,117
Beneficiaries
$5,676
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+350%
Opioid rate vs peers
18.3% vs 4.1% avg
-6%
Cost per patient vs peers
$5,676 vs $6,039 avg
-2%
Brand preference vs peers
7.4% vs 7.6% avg
Opioid Prescribing
18.3%
Opioid Rate
4,174
Opioid Claims
$154K
Opioid Cost
2.6%
Long-Acting Rate
Brand vs Generic
Brand: 1,696 claims · $5.6M
Generic: 21,121 claims · $698K
Patient Profile
69
Avg Age
80%
Female
1.49
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