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
629
Total Claims
$32K
Drug Cost
184
Beneficiaries
$174
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1330%
Opioid rate vs peers
36.9% vs 2.6% avg
-84%
Cost per patient vs peers
$174 vs $1,068 avg
+1%
Brand preference vs peers
9.1% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.9%
Opioid Rate
232
Opioid Claims
$11K
Opioid Cost
28.0%
Long-Acting Rate
This provider's opioid prescribing rate of 36.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 57 claims · $16K
Generic: 572 claims · $16K
Patient Profile
68
Avg Age
62%
Female
3.01
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