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
3,082
Total Claims
$275K
Drug Cost
265
Beneficiaries
$1,039
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,419 Neurosurgery providers
+170%
Opioid rate vs peers
73.0% vs 27.0% avg
+526%
Cost per patient vs peers
$1,039 vs $166 avg
+269%
Brand preference vs peers
4.5% vs 1.2% avg
🔎 Data Overview
Cost per patient is 526% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
73.0%
Opioid Rate
2,251
Opioid Claims
$255K
Opioid Cost
19.3%
Long-Acting Rate
This provider's opioid prescribing rate of 73.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 138 claims · $161K
Generic: 2,944 claims · $114K
Patient Profile
62
Avg Age
56%
Female
1.60
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