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
11,719
Total Claims
$697K
Drug Cost
923
Beneficiaries
$755
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+2436%
Opioid rate vs peers
33.2% vs 1.3% avg
-81%
Cost per patient vs peers
$755 vs $4,034 avg
-71%
Brand preference vs peers
2.8% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 2,436% above the average for Neurology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
33.2%
Opioid Rate
3,886
Opioid Claims
$98K
Opioid Cost
5.3%
Long-Acting Rate
This provider's opioid prescribing rate of 33.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 324 claims · $447K
Generic: 11,395 claims · $251K
Patient Profile
66
Avg Age
60%
Female
2.24
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