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
75
Total Claims
$1,011
Drug Cost
43
Beneficiaries
$24
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,439 Critical Care (Intensivists) providers
+3969%
Opioid rate vs peers
48.0% vs 1.2% avg
-100%
Cost per patient vs peers
$24 vs $5,023 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 3,969% above the average for Critical Care (Intensivists) 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
48.0%
Opioid Rate
36
Opioid Claims
$217
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 48.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 74 claims · $411
Patient Profile
72
Avg Age
63%
Female
1.92
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