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
5,791
Total Claims
$4.7M
Drug Cost
93
Beneficiaries
$50K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-16%
Opioid rate vs peers
2.1% vs 2.5% avg
+4358%
Cost per patient vs peers
$50K vs $1,128 avg
+306%
Brand preference vs peers
34.1% vs 8.4% 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 4358% 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
2.1%
Opioid Rate
120
Opioid Claims
$4,911
Opioid Cost
10.8%
Long-Acting Rate
Brand vs Generic
Brand: 1,967 claims · $4.3M
Generic: 3,799 claims · $411K
Patient Profile
68
Avg Age
13%
Female
1.47
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About