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
1,059
Total Claims
$361K
Drug Cost
473
Beneficiaries
$763
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,757 Ophthalmology providers
+27%
Cost per patient vs peers
$763 vs $600 avg
-49%
Brand preference vs peers
18.9% vs 36.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
32.6%
Opioid Rate
345
Opioid Claims
$1,306
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 32.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 200 claims · $349K
Generic: 859 claims · $11K
Patient Profile
74
Avg Age
61%
Female
1.11
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