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
837
Total Claims
$13K
Drug Cost
429
Beneficiaries
$30
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,195 Dermatology providers
+8095%
Opioid rate vs peers
52.2% vs 0.6% avg
-98%
Cost per patient vs peers
$30 vs $1,209 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 8,095% above the average for Dermatology 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
52.2%
Opioid Rate
437
Opioid Claims
$912
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 52.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 835 claims · $11K
Patient Profile
76
Avg Age
46%
Female
1.12
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