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
1,232
Total Claims
$170K
Drug Cost
138
Beneficiaries
$1,230
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1329%
Opioid rate vs peers
36.6% vs 2.6% avg
-1%
Cost per patient vs peers
$1,230 vs $1,237 avg
-38%
Brand preference vs peers
5.7% vs 9.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.6%
Opioid Rate
451
Opioid Claims
$56K
Opioid Cost
29.7%
Long-Acting Rate
This provider's opioid prescribing rate of 36.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 70 claims · $135K
Generic: 1,162 claims · $35K
Patient Profile
60
Avg Age
56%
Female
2.93
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