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 →28
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
21,934
Total Claims
$3.9M
Drug Cost
390
Beneficiaries
$9,931
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 516 Osteopathic Manipulative Medicine providers
-99%
Opioid rate vs peers
0.1% vs 7.5% avg
+800%
Cost per patient vs peers
$9,931 vs $1,104 avg
+290%
Brand preference vs peers
28.9% vs 7.4% avg
🔎 Data Overview
Cost per patient is 800% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
0.1%
Opioid Rate
24
Opioid Claims
$2,713
Opioid Cost
45.8%
Long-Acting Rate
Brand vs Generic
Brand: 6,219 claims · $3.5M
Generic: 15,276 claims · $394K
Patient Profile
76
Avg Age
62%
Female
1.54
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