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
2,826
Total Claims
$246K
Drug Cost
335
Beneficiaries
$735
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
+50%
Cost per patient vs peers
$735 vs $489 avg
-93%
Brand preference vs peers
6.4% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Composite risk score of 50/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
91.2%
Opioid Rate
2,576
Opioid Claims
$239K
Opioid Cost
35.8%
Long-Acting Rate
This provider's opioid prescribing rate of 91.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 180 claims · $154K
Generic: 2,646 claims · $92K
Patient Profile
70
Avg Age
61%
Female
1.75
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