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
23,362
Total Claims
$2.5M
Drug Cost
306
Beneficiaries
$8,269
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-29%
Opioid rate vs peers
1.7% vs 2.5% avg
+633%
Cost per patient vs peers
$8,269 vs $1,128 avg
+69%
Brand preference vs peers
14.2% vs 8.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 633% 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
1.7%
Opioid Rate
408
Opioid Claims
$6,364
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,269 claims · $1.7M
Generic: 19,790 claims · $840K
Patient Profile
74
Avg Age
60%
Female
1.28
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