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
554
Total Claims
$12K
Drug Cost
119
Beneficiaries
$101
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1972%
Opioid rate vs peers
53.4% vs 2.6% avg
-91%
Cost per patient vs peers
$101 vs $1,068 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
53.4%
Opioid Rate
296
Opioid Claims
$7,665
Opioid Cost
34.1%
Long-Acting Rate
This provider's opioid prescribing rate of 53.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 548 claims · $12K
Patient Profile
71
Avg Age
65%
Female
1.89
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