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
41,279
Total Claims
$19.6M
Drug Cost
1,431
Beneficiaries
$14K
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+516%
Opioid rate vs peers
8.1% vs 1.3% avg
+240%
Cost per patient vs peers
$14K vs $4,034 avg
+81%
Brand preference vs peers
17.0% vs 9.4% avg
🔎 Data Overview
Opioid prescribing rate is 516% above the average for Neurology 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
8.1%
Opioid Rate
3,325
Opioid Claims
$217K
Opioid Cost
9.8%
Long-Acting Rate
Brand vs Generic
Brand: 7,006 claims · $17.1M
Generic: 34,230 claims · $2.5M
Patient Profile
61
Avg Age
76%
Female
1.57
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