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
218
Total Claims
$43K
Drug Cost
113
Beneficiaries
$378
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+1482%
Opioid rate vs peers
56.0% vs 3.5% avg
-54%
Cost per patient vs peers
$378 vs $816 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.0%
Opioid Rate
122
Opioid Claims
$9,583
Opioid Cost
39.3%
Long-Acting Rate
This provider's opioid prescribing rate of 56.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 191 claims · $21K
Patient Profile
76
Avg Age
67%
Female
2.51
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