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
7,517
Total Claims
$530K
Drug Cost
247
Beneficiaries
$2,145
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+1902%
Opioid rate vs peers
26.2% vs 1.3% avg
-47%
Cost per patient vs peers
$2,145 vs $4,034 avg
-30%
Brand preference vs peers
6.6% 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 1,902% 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
26.2%
Opioid Rate
1,968
Opioid Claims
$175K
Opioid Cost
27.0%
Long-Acting Rate
This provider's opioid prescribing rate of 26.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 495 claims · $242K
Generic: 7,007 claims · $287K
Patient Profile
66
Avg Age
68%
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