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
942
Total Claims
$41K
Drug Cost
172
Beneficiaries
$240
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1934%
Opioid rate vs peers
52.4% vs 2.6% avg
-78%
Cost per patient vs peers
$240 vs $1,068 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.4%
Opioid Rate
494
Opioid Claims
$15K
Opioid Cost
38.5%
Long-Acting Rate
This provider's opioid prescribing rate of 52.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 850 claims · $16K
Patient Profile
76
Avg Age
62%
Female
2.69
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About