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
206
Total Claims
$7,596
Drug Cost
36
Beneficiaries
$211
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,743 Pediatric Medicine providers
+3226%
Opioid rate vs peers
52.9% vs 1.6% avg
-90%
Cost per patient vs peers
$211 vs $2,098 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.9%
Opioid Rate
109
Opioid Claims
$2,631
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 52.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 203 claims · $5,088
Patient Profile
72
Avg Age
61%
Female
1.67
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