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
389
Total Claims
$23K
Drug Cost
108
Beneficiaries
$217
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1066%
Opioid rate vs peers
30.1% vs 2.6% avg
-80%
Cost per patient vs peers
$217 vs $1,068 avg
+51%
Brand preference vs peers
13.6% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
30.1%
Opioid Rate
117
Opioid Claims
$7,472
Opioid Cost
50.4%
Long-Acting Rate
This provider's opioid prescribing rate of 30.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 53 claims · $18K
Generic: 336 claims · $5,514
Patient Profile
77
Avg Age
58%
Female
3.21
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