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
224
Total Claims
$12K
Drug Cost
89
Beneficiaries
$133
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1545%
Opioid rate vs peers
42.4% vs 2.6% avg
-88%
Cost per patient vs peers
$133 vs $1,068 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
42.4%
Opioid Rate
95
Opioid Claims
$3,697
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 42.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 200 claims · $5,707
Patient Profile
70
Avg Age
60%
Female
1.90
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