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
29,087
Total Claims
$2.6M
Drug Cost
1,102
Beneficiaries
$2,337
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+801%
Opioid rate vs peers
23.2% vs 2.6% avg
+119%
Cost per patient vs peers
$2,337 vs $1,068 avg
+66%
Brand preference vs peers
14.9% 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
23.2%
Opioid Rate
6,759
Opioid Claims
$279K
Opioid Cost
2.0%
Long-Acting Rate
This provider's opioid prescribing rate of 23.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 4,310 claims · $2.0M
Generic: 24,552 claims · $611K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Dapagliflozin Propanediol | 330 | $193K |
| Hydrocodone/Acetaminophen | 4,811 | $185K |
| Apixaban | 366 | $148K |
| Semaglutide | 133 | $134K |
| Semaglutide | 121 | $129K |
| Fluticasone/Umeclidin/Vilanter | 159 | $115K |
| Empagliflozin | 174 | $108K |
| Budesonide/Glycopyr/Formoterol | 156 | $105K |
| Dulaglutide | 92 | $91K |
| Linaclotide | 155 | $85K |
| Rivaroxaban | 95 | $59K |
| Mirabegron | 163 | $59K |
| Budesonide/Formoterol Fumarate | 113 | $50K |
| Oxycodone Hcl/Acetaminophen | 1,211 | $48K |
| Pregabalin | 1,151 | $46K |
Prescribing Profile
Patient Profile
67
Avg Age
55%
Female
2.01
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