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
31,943
Total Claims
$4.5M
Drug Cost
641
Beneficiaries
$7,036
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-92%
Opioid rate vs peers
0.2% vs 2.5% avg
+524%
Cost per patient vs peers
$7,036 vs $1,128 avg
+134%
Brand preference vs peers
19.7% vs 8.4% avg
🔎 Data Overview
Cost per patient is 524% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
0.2%
Opioid Rate
67
Opioid Claims
$298
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 6,244 claims · $3.7M
Generic: 25,452 claims · $819K
Patient Profile
76
Avg Age
57%
Female
1.58
Avg Risk Score
Explore More
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