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
5,633
Total Claims
$514K
Drug Cost
58
Beneficiaries
$8,861
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-45%
Opioid rate vs peers
1.4% vs 2.5% avg
+686%
Cost per patient vs peers
$8,861 vs $1,128 avg
-12%
Brand preference vs peers
7.4% vs 8.4% 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 686% 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
1.4%
Opioid Rate
77
Opioid Claims
$6,791
Opioid Cost
35.1%
Long-Acting Rate
Brand vs Generic
Brand: 417 claims · $277K
Generic: 5,216 claims · $237K
Patient Profile
68
Avg Age
52%
Female
1.32
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