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
376
Total Claims
$31K
Drug Cost
141
Beneficiaries
$217
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+2747%
Opioid rate vs peers
37.2% vs 1.3% avg
-95%
Cost per patient vs peers
$217 vs $4,034 avg
-7%
Brand preference vs peers
8.8% 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 2,747% 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
37.2%
Opioid Rate
140
Opioid Claims
$15K
Opioid Cost
12.1%
Long-Acting Rate
This provider's opioid prescribing rate of 37.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $19K
Generic: 343 claims · $12K
Patient Profile
70
Avg Age
62%
Female
1.24
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