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
454
Total Claims
$63K
Drug Cost
42
Beneficiaries
$1,494
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1984%
Opioid rate vs peers
53.7% vs 2.6% avg
+40%
Cost per patient vs peers
$1,494 vs $1,068 avg
+37%
Brand preference vs peers
12.3% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
53.7%
Opioid Rate
244
Opioid Claims
$49K
Opioid Cost
34.8%
Long-Acting Rate
This provider's opioid prescribing rate of 53.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 56 claims · $48K
Generic: 398 claims · $14K
Patient Profile
67
Avg Age
71%
Female
1.80
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