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
382
Total Claims
$20K
Drug Cost
97
Beneficiaries
$202
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
-59%
Cost per patient vs peers
$202 vs $489 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
43.2%
Opioid Rate
165
Opioid Claims
$5,689
Opioid Cost
15.8%
Long-Acting Rate
This provider's opioid prescribing rate of 43.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 349 claims · $12K
Patient Profile
69
Avg Age
62%
Female
2.14
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