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
9,392
Total Claims
$862K
Drug Cost
671
Beneficiaries
$1,285
Cost/Patient
Risk Score Breakdown 66/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1829%
Opioid rate vs peers
49.8% vs 2.6% avg
+20%
Cost per patient vs peers
$1,285 vs $1,068 avg
-18%
Brand preference vs peers
7.3% 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
49.8%
Opioid Rate
4,673
Opioid Claims
$555K
Opioid Cost
24.1%
Long-Acting Rate
This provider's opioid prescribing rate of 49.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 688 claims · $452K
Generic: 8,693 claims · $409K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine | 538 | $181K |
| Buprenorphine Hcl | 145 | $107K |
| Hydrocodone/Acetaminophen | 2,776 | $99K |
| Tapentadol Hcl | 67 | $92K |
| Diclofenac Sodium | 87 | $40K |
| Linaclotide | 54 | $30K |
| Lidocaine | 91 | $24K |
| Oxycodone Myristate | 31 | $18K |
| Semaglutide | 15 | $16K |
| Pregabalin | 444 | $15K |
| Gabapentin | 632 | $12K |
| Tramadol Hcl | 114 | $12K |
| Naloxegol Oxalate | 24 | $9,830 |
| Naloxone Hcl | 117 | $9,548 |
| Lubiprostone | 26 | $8,652 |
Prescribing Profile
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