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
6,400
Total Claims
$261K
Drug Cost
622
Beneficiaries
$420
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+52%
Opioid rate vs peers
62.8% vs 41.3% avg
+5%
Cost per patient vs peers
$420 vs $399 avg
+20%
Brand preference vs peers
4.5% vs 3.8% avg
Opioid Prescribing
62.8%
Opioid Rate
4,016
Opioid Claims
$119K
Opioid Cost
10.7%
Long-Acting Rate
This provider's opioid prescribing rate of 62.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 288 claims · $130K
Generic: 6,112 claims · $131K
Patient Profile
71
Avg Age
61%
Female
3.12
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