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 →17
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,736
Total Claims
$3.4M
Drug Cost
736
Beneficiaries
$4,573
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,498 Interventional Pain Management providers
+6%
Opioid rate vs peers
48.5% vs 45.9% avg
+847%
Cost per patient vs peers
$4,573 vs $483 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 847% 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
48.5%
Opioid Rate
5,693
Opioid Claims
$1.5M
Opioid Cost
30.8%
Long-Acting Rate
This provider's opioid prescribing rate of 48.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 9,602 claims · $1.4M
Patient Profile
67
Avg Age
55%
Female
1.39
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