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
2,284
Total Claims
$427K
Drug Cost
33
Beneficiaries
$13K
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-22%
Opioid rate vs peers
2.0% vs 2.6% avg
+1111%
Cost per patient vs peers
$13K vs $1,068 avg
+3%
Brand preference vs peers
9.3% vs 9.0% 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 1111% 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
2.0%
Opioid Rate
46
Opioid Claims
$4,123
Opioid Cost
56.5%
Long-Acting Rate
Brand vs Generic
Brand: 209 claims · $198K
Generic: 2,049 claims · $228K
Patient Profile
63
Avg Age
46%
Female
1.34
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