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
107
Total Claims
$92K
Drug Cost
54
Beneficiaries
$1,712
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+3982%
Opioid rate vs peers
52.3% vs 1.3% avg
+355%
Cost per patient vs peers
$1,712 vs $376 avg
+24%
Brand preference vs peers
15.0% vs 12.1% 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 3,982% above the average for Obstetrics & Gynecology 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
52.3%
Opioid Rate
56
Opioid Claims
$1,074
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 52.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $71K
Generic: 91 claims · $21K
Patient Profile
66
Avg Age
100%
Female
1.95
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