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
275
Total Claims
$22K
Drug Cost
151
Beneficiaries
$143
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
-71%
Cost per patient vs peers
$143 vs $489 avg
-91%
Brand preference vs peers
8.4% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.4%
Opioid Rate
133
Opioid Claims
$14K
Opioid Cost
17.3%
Long-Acting Rate
This provider's opioid prescribing rate of 48.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $4,544
Generic: 252 claims · $17K
Patient Profile
70
Avg Age
62%
Female
1.77
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