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
172
Total Claims
$10K
Drug Cost
41
Beneficiaries
$247
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2673%
Opioid rate vs peers
71.5% vs 2.6% avg
-77%
Cost per patient vs peers
$247 vs $1,068 avg
-3%
Brand preference vs peers
8.7% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.5%
Opioid Rate
123
Opioid Claims
$9,251
Opioid Cost
39.8%
Long-Acting Rate
This provider's opioid prescribing rate of 71.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 15 claims · $920
Generic: 157 claims · $9,224
Patient Profile
73
Avg Age
54%
Female
3.50
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