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
400
Total Claims
$26K
Drug Cost
84
Beneficiaries
$306
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2169%
Opioid rate vs peers
58.5% vs 2.6% avg
-71%
Cost per patient vs peers
$306 vs $1,068 avg
+47%
Brand preference vs peers
13.3% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.5%
Opioid Rate
234
Opioid Claims
$18K
Opioid Cost
26.9%
Long-Acting Rate
This provider's opioid prescribing rate of 58.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 53 claims · $15K
Generic: 347 claims · $11K
Patient Profile
69
Avg Age
51%
Female
2.94
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