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
57,738
Total Claims
$12.3M
Drug Cost
35,947
Beneficiaries
$343
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+295%
Opioid rate vs peers
10.2% vs 2.6% avg
-68%
Cost per patient vs peers
$343 vs $1,068 avg
+1011%
Brand preference vs peers
100.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 295% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
10.2%
Opioid Rate
5,882
Opioid Claims
$373K
Opioid Cost
14.6%
Long-Acting Rate
Brand vs Generic
Brand: 46,212 claims · $12.0M
Generic: 0 claims · $0
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rsvpref3 Antigen/As01e/Pf | 14,232 | $4.5M |
| Varicella-Zoster Ge/As01b/Pf | 17,914 | $3.8M |
| Rsv Vacc, Pref A And Pref B/Pf | 9,460 | $3.1M |
| Diphth,pertuss(Acell),tet Vac | 3,102 | $211K |
| Oxycodone Hcl/Acetaminophen | 1,606 | $96K |
| Hydrocodone/Acetaminophen | 2,207 | $70K |
| Oxycodone Hcl | 176 | $64K |
| Oxycodone Myristate | 169 | $58K |
| Methylnaltrexone Bromide | 14 | $39K |
| Hepatitis A And B Vaccine/Pf | 206 | $31K |
| Apixaban | 66 | $21K |
| Oxycodone Hcl | 863 | $18K |
| Hydrocodone Bitartrate | 29 | $16K |
| Buprenorphine | 44 | $13K |
| Fentanyl | 89 | $11K |
Prescribing Profile
Patient Profile
73
Avg Age
59%
Female
1.06
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 of wrongdoing.Methodology · About · Dispute this data