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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
637
Total Claims
$85K
Drug Cost
81
Beneficiaries
$1,048
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 145 Undefined Physician type providers
+1035%
Opioid rate vs peers
59.8% vs 5.3% avg
-51%
Cost per patient vs peers
$1,048 vs $2,135 avg
+29%
Brand preference vs peers
15.4% vs 12.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
59.8%
Opioid Rate
381
Opioid Claims
$63K
Opioid Cost
41.5%
Long-Acting Rate
This provider's opioid prescribing rate of 59.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 98 claims · $52K
Generic: 539 claims · $33K
Patient Profile
66
Avg Age
73%
Female
1.79
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