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
10,769
Total Claims
$1.4M
Drug Cost
182
Beneficiaries
$7,868
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-21%
Opioid rate vs peers
2.0% vs 2.6% avg
+637%
Cost per patient vs peers
$7,868 vs $1,068 avg
+146%
Brand preference vs peers
22.2% 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 637% 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
220
Opioid Claims
$10K
Opioid Cost
30.5%
Long-Acting Rate
Brand vs Generic
Brand: 2,388 claims · $976K
Generic: 8,381 claims · $456K
Patient Profile
79
Avg Age
67%
Female
3.71
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