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
2,974
Total Claims
$474K
Drug Cost
273
Beneficiaries
$1,735
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,101 Rheumatology providers
+720%
Opioid rate vs peers
33.3% vs 4.1% avg
-71%
Cost per patient vs peers
$1,735 vs $6,039 avg
-1%
Brand preference vs peers
7.5% vs 7.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
33.3%
Opioid Rate
990
Opioid Claims
$66K
Opioid Cost
23.4%
Long-Acting Rate
This provider's opioid prescribing rate of 33.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 223 claims · $359K
Generic: 2,751 claims · $115K
Patient Profile
69
Avg Age
79%
Female
1.86
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