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
170
Total Claims
$12K
Drug Cost
45
Beneficiaries
$270
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+2127%
Opioid rate vs peers
57.1% vs 2.6% avg
-78%
Cost per patient vs peers
$270 vs $1,237 avg
-10%
Brand preference vs peers
8.2% vs 9.2% 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 2,127% above the average for Geriatric Medicine 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
57.1%
Opioid Rate
97
Opioid Claims
$8,067
Opioid Cost
56.7%
Long-Acting Rate
This provider's opioid prescribing rate of 57.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $5,525
Generic: 156 claims · $6,631
Patient Profile
68
Avg Age
42%
Female
2.90
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