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
7,925
Total Claims
$957K
Drug Cost
122
Beneficiaries
$7,845
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+10%
Opioid rate vs peers
2.8% vs 2.6% avg
+635%
Cost per patient vs peers
$7,845 vs $1,068 avg
+64%
Brand preference vs peers
14.8% 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 635% 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
2.8%
Opioid Rate
225
Opioid Claims
$6,155
Opioid Cost
24.9%
Long-Acting Rate
Brand vs Generic
Brand: 1,163 claims · $792K
Generic: 6,719 claims · $163K
Patient Profile
74
Avg Age
53%
Female
2.97
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