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
6,331
Total Claims
$498K
Drug Cost
1,103
Beneficiaries
$452
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 350 Addiction Medicine providers
+1346%
Opioid rate vs peers
62.5% vs 4.3% avg
-68%
Cost per patient vs peers
$452 vs $1,415 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 1,346% 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
62.5%
Opioid Rate
3,959
Opioid Claims
$394K
Opioid Cost
21.8%
Long-Acting Rate
This provider's opioid prescribing rate of 62.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 517 claims · $333K
Generic: 5,814 claims · $166K
Patient Profile
70
Avg Age
59%
Female
2.10
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