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
6,236
Total Claims
$2.0M
Drug Cost
252
Beneficiaries
$8,077
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+49%
Opioid rate vs peers
3.8% vs 2.6% avg
+656%
Cost per patient vs peers
$8,077 vs $1,068 avg
+154%
Brand preference vs peers
22.8% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 656% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
3.8%
Opioid Rate
239
Opioid Claims
$37K
Opioid Cost
29.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,406 claims · $1.9M
Generic: 4,756 claims · $116K
Patient Profile
68
Avg Age
56%
Female
1.66
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