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
5,447
Total Claims
$2.0M
Drug Cost
596
Beneficiaries
$3,416
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+490%
Opioid rate vs peers
24.0% vs 4.1% avg
-43%
Cost per patient vs peers
$3,416 vs $6,039 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
24.0%
Opioid Rate
1,306
Opioid Claims
$78K
Opioid Cost
19.1%
Long-Acting Rate
This provider's opioid prescribing rate of 24.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,054 claims · $148K
Patient Profile
72
Avg Age
71%
Female
1.46
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