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
25,913
Total Claims
$1.0M
Drug Cost
590
Beneficiaries
$1,724
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
-87%
Opioid rate vs peers
0.7% vs 5.0% avg
+102%
Cost per patient vs peers
$1,724 vs $856 avg
+24%
Brand preference vs peers
10.2% vs 8.2% avg
Opioid Prescribing
0.7%
Opioid Rate
174
Opioid Claims
$1,144
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,592 claims · $716K
Generic: 22,871 claims · $292K
Patient Profile
73
Avg Age
52%
Female
2.21
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