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
1,536
Total Claims
$89K
Drug Cost
425
Beneficiaries
$210
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+4226%
Opioid rate vs peers
56.6% vs 1.3% avg
-95%
Cost per patient vs peers
$210 vs $4,034 avg
-21%
Brand preference vs peers
7.4% vs 9.4% 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 4,226% above the average for Neurology 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
56.6%
Opioid Rate
869
Opioid Claims
$58K
Opioid Cost
17.8%
Long-Acting Rate
This provider's opioid prescribing rate of 56.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 114 claims · $52K
Generic: 1,422 claims · $38K
Patient Profile
66
Avg Age
56%
Female
1.78
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