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
938
Total Claims
$55K
Drug Cost
95
Beneficiaries
$574
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
+18%
Cost per patient vs peers
$574 vs $489 avg
-95%
Brand preference vs peers
4.8% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.5%
Opioid Rate
549
Opioid Claims
$39K
Opioid Cost
21.5%
Long-Acting Rate
This provider's opioid prescribing rate of 58.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $26K
Generic: 893 claims · $28K
Patient Profile
68
Avg Age
63%
Female
2.15
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