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
643
Total Claims
$80K
Drug Cost
47
Beneficiaries
$1,712
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2554%
Opioid rate vs peers
68.4% vs 2.6% avg
+60%
Cost per patient vs peers
$1,712 vs $1,068 avg
+66%
Brand preference vs peers
14.9% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
68.4%
Opioid Rate
440
Opioid Claims
$66K
Opioid Cost
21.1%
Long-Acting Rate
This provider's opioid prescribing rate of 68.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 96 claims · $43K
Generic: 547 claims · $37K
Patient Profile
66
Avg Age
53%
Female
2.25
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