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
715
Total Claims
$1.6M
Drug Cost
329
Beneficiaries
$4,814
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,757 Ophthalmology providers
+703%
Cost per patient vs peers
$4,814 vs $600 avg
-66%
Brand preference vs peers
12.6% vs 36.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 703% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
26.7%
Opioid Rate
191
Opioid Claims
$730
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 26.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 90 claims · $1.6M
Generic: 625 claims · $6,414
Patient Profile
74
Avg Age
60%
Female
1.22
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