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
307
Total Claims
$63K
Drug Cost
57
Beneficiaries
$1,110
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+178%
Opioid rate vs peers
7.2% vs 2.6% avg
+4%
Cost per patient vs peers
$1,110 vs $1,068 avg
-38%
Brand preference vs peers
5.5% vs 9.0% avg
Opioid Prescribing
7.2%
Opioid Rate
22
Opioid Claims
$11K
Opioid Cost
100.0%
Long-Acting Rate
Brand vs Generic
Brand: 17 claims · $23K
Generic: 290 claims · $40K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hcl | 152 | $28K |
| Buprenorphine | 16 | $8,729 |
| Gabapentin | 23 | $457 |
| Hydroxyzine Pamoate | 12 | $152 |
Prescribing Profile
4
Unique Drugs
8.0
Anomaly Score
Patient Profile
66
Avg Age
46%
Female
2.43
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