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
18,956
Total Claims
$1.8M
Drug Cost
758
Beneficiaries
$2,364
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,743 Pediatric Medicine providers
+264%
Opioid rate vs peers
5.8% vs 1.6% avg
+13%
Cost per patient vs peers
$2,364 vs $2,098 avg
-6%
Brand preference vs peers
14.2% vs 15.1% avg
🔎 Data Overview
Opioid rate is 264% above Pediatric Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
5.8%
Opioid Rate
1,099
Opioid Claims
$73K
Opioid Cost
22.0%
Long-Acting Rate
Brand vs Generic
Brand: 2,668 claims · $1.4M
Generic: 16,133 claims · $342K
Patient Profile
72
Avg Age
54%
Female
1.37
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