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
10,349
Total Claims
$1.2M
Drug Cost
540
Beneficiaries
$2,249
Cost/Patient
Risk Score Breakdown 53/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1134%
Opioid rate vs peers
31.8% vs 2.6% avg
+111%
Cost per patient vs peers
$2,249 vs $1,068 avg
+53%
Brand preference vs peers
13.7% 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 prescribing rate is 1,134% above the average for Family Practice providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Composite risk score of 53/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
31.8%
Opioid Rate
3,293
Opioid Claims
$488K
Opioid Cost
54.1%
Long-Acting Rate
This provider's opioid prescribing rate of 31.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,417 claims · $897K
Generic: 8,903 claims · $308K
Patient Profile
66
Avg Age
52%
Female
1.62
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