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
41,770
Total Claims
$43.5M
Drug Cost
3,515
Beneficiaries
$12K
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+24%
Opioid rate vs peers
5.0% vs 4.1% avg
+105%
Cost per patient vs peers
$12K vs $6,039 avg
Opioid Prescribing
5.0%
Opioid Rate
2,096
Opioid Claims
$34K
Opioid Cost
0.7%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 33,198 claims · $1.5M
Patient Profile
71
Avg Age
80%
Female
2.30
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