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
213
Total Claims
$9,151
Drug Cost
61
Beneficiaries
$150
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+555%
Opioid rate vs peers
16.9% vs 2.6% avg
-86%
Cost per patient vs peers
$150 vs $1,068 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
16.9%
Opioid Rate
36
Opioid Claims
$2,360
Opioid Cost
50.0%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 197 claims · $6,047
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Fentanyl | 12 | $1,450 |
| Quetiapine Fumarate | 18 | $264 |
Prescribing Profile
2
Unique Drugs
37.0
Anomaly Score
Patient Profile
75
Avg Age
57%
Female
2.49
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.Methodology · About