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
2,913
Total Claims
$335K
Drug Cost
47
Beneficiaries
$7,134
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-40%
Opioid rate vs peers
1.5% vs 2.6% avg
+568%
Cost per patient vs peers
$7,134 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.
🔎 Data Overview
Cost per patient is 568% 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
1.5%
Opioid Rate
45
Opioid Claims
$1,668
Opioid Cost
26.7%
Long-Acting Rate
Brand vs Generic
Brand: 408 claims · $243K
Generic: 2,486 claims · $92K
Patient Profile
63
Avg Age
—
Female
1.90
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