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
383
Total Claims
$110K
Drug Cost
99
Beneficiaries
$1,113
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
+128%
Cost per patient vs peers
$1,113 vs $489 avg
-75%
Brand preference vs peers
23.2% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
53.3%
Opioid Rate
204
Opioid Claims
$94K
Opioid Cost
97.1%
Long-Acting Rate
This provider's opioid prescribing rate of 53.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 89 claims · $75K
Generic: 294 claims · $35K
Patient Profile
71
Avg Age
53%
Female
1.70
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