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
422
Total Claims
$7,420
Drug Cost
59
Beneficiaries
$126
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 616 Sleep Medicine providers
+3490%
Opioid rate vs peers
56.9% vs 1.6% avg
-94%
Cost per patient vs peers
$126 vs $2,215 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 3,490% above the average for Sleep 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
56.9%
Opioid Rate
240
Opioid Claims
$3,785
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 422 claims · $7,420
Patient Profile
64
Avg Age
59%
Female
1.66
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