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
237
Total Claims
$17K
Drug Cost
63
Beneficiaries
$262
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1782%
Opioid rate vs peers
48.5% vs 2.6% avg
-75%
Cost per patient vs peers
$262 vs $1,068 avg
+8%
Brand preference vs peers
9.7% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.5%
Opioid Rate
115
Opioid Claims
$7,208
Opioid Cost
38.3%
Long-Acting Rate
This provider's opioid prescribing rate of 48.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $8,897
Generic: 214 claims · $7,615
Patient Profile
73
Avg Age
59%
Female
2.26
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