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
23,091
Total Claims
$3.2M
Drug Cost
1,730
Beneficiaries
$1,832
Cost/Patient
Risk Score Breakdown 70/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1977%
Opioid rate vs peers
53.6% vs 2.6% avg
+72%
Cost per patient vs peers
$1,832 vs $1,068 avg
+57%
Brand preference vs peers
14.1% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
53.6%
Opioid Rate
12,368
Opioid Claims
$1.7M
Opioid Cost
30.6%
Long-Acting Rate
This provider's opioid prescribing rate of 53.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 3,258 claims · $2.2M
Generic: 19,820 claims · $1.0M
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 727 | $505K |
| Oxycodone Hcl/Acetaminophen | 2,699 | $238K |
| Oxycodone Hcl | 310 | $202K |
| Semaglutide | 179 | $182K |
| Buprenorphine | 474 | $171K |
| Oxycodone Myristate | 244 | $154K |
| Methylnaltrexone Bromide | 59 | $145K |
| Suvorexant | 228 | $110K |
| Hydrocodone/Acetaminophen | 3,511 | $99K |
| Tirzepatide | 80 | $91K |
| Buprenorphine Hcl/Naloxone Hcl | 742 | $84K |
| Etanercept | 11 | $83K |
| Erenumab-Aooe | 73 | $63K |
| Buprenorphine Hcl/Naloxone Hcl | 81 | $54K |
| Hydrocodone Bitartrate | 68 | $45K |
Prescribing Profile
Patient Profile
68
Avg Age
68%
Female
1.88
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