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
1,215
Total Claims
$91K
Drug Cost
62
Beneficiaries
$1,465
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,194 Neurology providers
+3512%
Opioid rate vs peers
47.2% vs 1.3% avg
-64%
Cost per patient vs peers
$1,465 vs $4,034 avg
-56%
Brand preference vs peers
4.1% 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 3,512% 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
47.2%
Opioid Rate
574
Opioid Claims
$66K
Opioid Cost
14.8%
Long-Acting Rate
This provider's opioid prescribing rate of 47.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $44K
Generic: 1,165 claims · $46K
Patient Profile
64
Avg Age
60%
Female
1.43
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About