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
21,852
Total Claims
$2.0M
Drug Cost
557
Beneficiaries
$3,592
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
-92%
Opioid rate vs peers
0.3% vs 4.1% avg
-41%
Cost per patient vs peers
$3,592 vs $6,039 avg
-28%
Brand preference vs peers
5.5% vs 7.6% avg
Opioid Prescribing
0.3%
Opioid Rate
74
Opioid Claims
$6,828
Opioid Cost
36.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,193 claims · $1.8M
Generic: 20,642 claims · $225K
Patient Profile
74
Avg Age
70%
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