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
5,377
Total Claims
$350K
Drug Cost
547
Beneficiaries
$640
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+2205%
Opioid rate vs peers
57.1% vs 2.5% avg
-43%
Cost per patient vs peers
$640 vs $1,128 avg
-27%
Brand preference vs peers
6.1% vs 8.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.1%
Opioid Rate
3,068
Opioid Claims
$201K
Opioid Cost
14.2%
Long-Acting Rate
This provider's opioid prescribing rate of 57.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 330 claims · $180K
Generic: 5,047 claims · $170K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 118 | $59K |
| Oxycodone Hcl/Acetaminophen | 1,230 | $41K |
| Buprenorphine Hcl/Naloxone Hcl | 149 | $35K |
| Buprenorphine Hcl | 19 | $18K |
| Oxycodone Hcl | 755 | $16K |
| Buprenorphine Hcl/Naloxone Hcl | 23 | $12K |
| Diclofenac Sodium | 97 | $11K |
| Gabapentin | 651 | $10K |
| Buprenorphine | 21 | $10K |
| Oxycodone Hcl | 24 | $10K |
| Hydrocodone/Acetaminophen | 387 | $9,884 |
| Buprenorphine Hcl/Naloxone Hcl | 18 | $9,198 |
| Hydrocodone Bitartrate | 16 | $8,201 |
| Pregabalin | 306 | $7,552 |
| Morphine Sulfate | 166 | $4,014 |
Prescribing Profile
32
Unique Drugs
45.0
Anomaly Score
Patient Profile
64
Avg Age
58%
Female
1.78
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