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
395
Total Claims
$114K
Drug Cost
86
Beneficiaries
$1,331
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
+172%
Cost per patient vs peers
$1,331 vs $489 avg
-70%
Brand preference vs peers
27.8% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
26.3%
Opioid Rate
104
Opioid Claims
$12K
Opioid Cost
44.2%
Long-Acting Rate
This provider's opioid prescribing rate of 26.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 110 claims · $95K
Generic: 285 claims · $20K
Patient Profile
68
Avg Age
56%
Female
2.41
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