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
3,855
Total Claims
$2.7M
Drug Cost
311
Beneficiaries
$8,678
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+455%
Opioid rate vs peers
22.5% vs 4.1% avg
+44%
Cost per patient vs peers
$8,678 vs $6,039 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
22.5%
Opioid Rate
868
Opioid Claims
$52K
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 22.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 3,356 claims · $133K
Patient Profile
70
Avg Age
78%
Female
1.84
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About