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
684
Total Claims
$85K
Drug Cost
57
Beneficiaries
$1,491
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,825 Geriatric Medicine providers
+1857%
Opioid rate vs peers
50.1% vs 2.6% avg
+21%
Cost per patient vs peers
$1,491 vs $1,237 avg
+15%
Brand preference vs peers
10.5% vs 9.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
50.1%
Opioid Rate
343
Opioid Claims
$71K
Opioid Cost
46.6%
Long-Acting Rate
This provider's opioid prescribing rate of 50.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 72 claims · $62K
Generic: 612 claims · $23K
Patient Profile
68
Avg Age
56%
Female
3.74
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