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
126
Total Claims
$114K
Drug Cost
63
Beneficiaries
$1,817
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+5100%
Opioid rate vs peers
66.7% vs 1.3% avg
+383%
Cost per patient vs peers
$1,817 vs $376 avg
-15%
Brand preference vs peers
10.3% vs 12.1% 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 5,100% above the average for Obstetrics & Gynecology 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
66.7%
Opioid Rate
84
Opioid Claims
$2,192
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 66.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 13 claims · $112K
Generic: 113 claims · $2,714
Patient Profile
65
Avg Age
100%
Female
2.51
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