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
513
Total Claims
$50K
Drug Cost
76
Beneficiaries
$653
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1586%
Opioid rate vs peers
43.5% vs 2.6% avg
-39%
Cost per patient vs peers
$653 vs $1,068 avg
-5%
Brand preference vs peers
8.6% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
43.5%
Opioid Rate
223
Opioid Claims
$19K
Opioid Cost
43.0%
Long-Acting Rate
This provider's opioid prescribing rate of 43.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 44 claims · $38K
Generic: 469 claims · $12K
Patient Profile
74
Avg Age
49%
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