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
726
Total Claims
$27K
Drug Cost
114
Beneficiaries
$238
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1711%
Opioid rate vs peers
46.7% vs 2.6% avg
-78%
Cost per patient vs peers
$238 vs $1,068 avg
-46%
Brand preference vs peers
4.8% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
46.7%
Opioid Rate
339
Opioid Claims
$9,776
Opioid Cost
30.7%
Long-Acting Rate
This provider's opioid prescribing rate of 46.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 35 claims · $11K
Generic: 691 claims · $16K
Patient Profile
71
Avg Age
56%
Female
2.72
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