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
2,354
Total Claims
$248K
Drug Cost
176
Beneficiaries
$1,407
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2523%
Opioid rate vs peers
67.6% vs 2.6% avg
+32%
Cost per patient vs peers
$1,407 vs $1,068 avg
-5%
Brand preference vs peers
8.5% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
67.6%
Opioid Rate
1,592
Opioid Claims
$205K
Opioid Cost
56.5%
Long-Acting Rate
This provider's opioid prescribing rate of 67.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 201 claims · $129K
Generic: 2,153 claims · $118K
Patient Profile
65
Avg Age
60%
Female
2.10
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