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
321
Total Claims
$13K
Drug Cost
49
Beneficiaries
$256
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1881%
Opioid rate vs peers
51.1% vs 2.6% avg
-76%
Cost per patient vs peers
$256 vs $1,068 avg
-52%
Brand preference vs peers
4.4% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
51.1%
Opioid Rate
164
Opioid Claims
$8,899
Opioid Cost
40.9%
Long-Acting Rate
This provider's opioid prescribing rate of 51.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $2,844
Generic: 307 claims · $9,689
Patient Profile
71
Avg Age
65%
Female
3.74
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