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
274
Total Claims
$121K
Drug Cost
86
Beneficiaries
$1,412
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,761 Pharmacist providers
+189%
Cost per patient vs peers
$1,412 vs $489 avg
-52%
Brand preference vs peers
44.5% vs 91.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
74.1%
Opioid Rate
203
Opioid Claims
$117K
Opioid Cost
100.0%
Long-Acting Rate
This provider's opioid prescribing rate of 74.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 122 claims · $103K
Generic: 152 claims · $18K
Patient Profile
72
Avg Age
55%
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