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
7,852
Total Claims
$407K
Drug Cost
225
Beneficiaries
$1,810
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+2025%
Opioid rate vs peers
52.6% vs 2.5% avg
+60%
Cost per patient vs peers
$1,810 vs $1,128 avg
-60%
Brand preference vs peers
3.4% vs 8.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.6%
Opioid Rate
4,131
Opioid Claims
$311K
Opioid Cost
20.2%
Long-Acting Rate
This provider's opioid prescribing rate of 52.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 266 claims · $168K
Generic: 7,586 claims · $239K
Patient Profile
63
Avg Age
45%
Female
1.47
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