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
6,001
Total Claims
$4.9M
Drug Cost
175
Beneficiaries
$28K
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-81%
Opioid rate vs peers
0.5% vs 2.6% avg
+2544%
Cost per patient vs peers
$28K vs $1,068 avg
+293%
Brand preference vs peers
35.3% vs 9.0% 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 2544% 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
0.5%
Opioid Rate
29
Opioid Claims
$1,555
Opioid Cost
62.1%
Long-Acting Rate
Brand vs Generic
Brand: 2,106 claims · $4.8M
Generic: 3,854 claims · $97K
Patient Profile
60
Avg Age
41%
Female
1.85
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About