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
343
Total Claims
$32K
Drug Cost
16
Beneficiaries
$2,021
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
+1008%
Opioid rate vs peers
55.7% vs 5.0% avg
+136%
Cost per patient vs peers
$2,021 vs $856 avg
-57%
Brand preference vs peers
3.5% vs 8.2% 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 1,008% above the average for Specialist 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
55.7%
Opioid Rate
191
Opioid Claims
$28K
Opioid Cost
30.4%
Long-Acting Rate
This provider's opioid prescribing rate of 55.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $19K
Generic: 331 claims · $13K
Patient Profile
67
Avg Age
—
Female
1.08
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