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
8,788
Total Claims
$681K
Drug Cost
1,088
Beneficiaries
$626
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 350 Addiction Medicine providers
+1500%
Opioid rate vs peers
69.2% vs 4.3% avg
-56%
Cost per patient vs peers
$626 vs $1,415 avg
-2%
Brand preference vs peers
7.9% 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 1,500% 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
69.2%
Opioid Rate
6,079
Opioid Claims
$522K
Opioid Cost
24.3%
Long-Acting Rate
This provider's opioid prescribing rate of 69.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 697 claims · $385K
Generic: 8,091 claims · $295K
Patient Profile
66
Avg Age
62%
Female
1.91
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