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
81
Total Claims
$97K
Drug Cost
41
Beneficiaries
$2,369
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+2982%
Opioid rate vs peers
39.5% vs 1.3% avg
+529%
Cost per patient vs peers
$2,369 vs $376 avg
+94%
Brand preference vs peers
23.5% vs 12.1% 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 2,982% above the average for Obstetrics & Gynecology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 529% 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
39.5%
Opioid Rate
32
Opioid Claims
$410
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 39.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 19 claims · $96K
Generic: 62 claims · $785
Patient Profile
68
Avg Age
100%
Female
1.87
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 of wrongdoing.Methodology · About · Dispute this data