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
377
Total Claims
$171K
Drug Cost
97
Beneficiaries
$1,759
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
+260%
Cost per patient vs peers
$1,759 vs $489 avg
-90%
Brand preference vs peers
8.8% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
28.9%
Opioid Rate
109
Opioid Claims
$10K
Opioid Cost
29.4%
Long-Acting Rate
This provider's opioid prescribing rate of 28.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $158K
Generic: 344 claims · $12K
Patient Profile
72
Avg Age
62%
Female
2.16
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