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
501
Total Claims
$75K
Drug Cost
130
Beneficiaries
$579
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+1900%
Opioid rate vs peers
49.5% vs 2.5% avg
-49%
Cost per patient vs peers
$579 vs $1,128 avg
+73%
Brand preference vs peers
14.6% vs 8.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.5%
Opioid Rate
248
Opioid Claims
$62K
Opioid Cost
47.6%
Long-Acting Rate
This provider's opioid prescribing rate of 49.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 73 claims · $55K
Generic: 428 claims · $20K
Patient Profile
68
Avg Age
52%
Female
1.33
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