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
$3,964
Drug Cost
30
Beneficiaries
$132
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1587%
Opioid rate vs peers
43.2% vs 2.6% avg
-89%
Cost per patient vs peers
$132 vs $1,237 avg
+88%
Brand preference vs peers
17.3% 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 1,587% 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
43.2%
Opioid Rate
35
Opioid Claims
$3,249
Opioid Cost
31.4%
Long-Acting Rate
This provider's opioid prescribing rate of 43.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $2,499
Generic: 67 claims · $1,464
Patient Profile
76
Avg Age
—
Female
2.97
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