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
19,033
Total Claims
$1.2M
Drug Cost
236
Beneficiaries
$4,921
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
-60%
Opioid rate vs peers
1.4% vs 3.5% avg
+503%
Cost per patient vs peers
$4,921 vs $816 avg
+66%
Brand preference vs peers
10.3% vs 6.2% 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 503% 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
266
Opioid Claims
$4,558
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,953 claims · $841K
Generic: 16,953 claims · $316K
Patient Profile
79
Avg Age
61%
Female
2.64
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