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
426
Total Claims
$14K
Drug Cost
71
Beneficiaries
$195
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1848%
Opioid rate vs peers
50.2% vs 2.6% avg
-82%
Cost per patient vs peers
$195 vs $1,068 avg
-66%
Brand preference vs peers
3.1% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
50.2%
Opioid Rate
214
Opioid Claims
$8,795
Opioid Cost
28.5%
Long-Acting Rate
This provider's opioid prescribing rate of 50.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 13 claims · $2,760
Generic: 413 claims · $11K
Patient Profile
74
Avg Age
72%
Female
1.28
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