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
3,580
Total Claims
$647K
Drug Cost
430
Beneficiaries
$1,506
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 350 Addiction Medicine providers
+1055%
Opioid rate vs peers
49.9% vs 4.3% avg
+6%
Cost per patient vs peers
$1,506 vs $1,415 avg
+185%
Brand preference vs peers
23.2% vs 8.1% 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 1,055% above the average for Addiction Medicine 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
49.9%
Opioid Rate
1,787
Opioid Claims
$554K
Opioid Cost
57.4%
Long-Acting Rate
This provider's opioid prescribing rate of 49.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 829 claims · $504K
Generic: 2,751 claims · $143K
Patient Profile
71
Avg Age
57%
Female
2.17
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