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
24,078
Total Claims
$3.3M
Drug Cost
467
Beneficiaries
$6,999
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-44%
Opioid rate vs peers
1.4% vs 2.5% avg
+521%
Cost per patient vs peers
$6,999 vs $1,128 avg
+112%
Brand preference vs peers
17.8% vs 8.4% avg
🔎 Data Overview
Cost per patient is 521% 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
1.4%
Opioid Rate
335
Opioid Claims
$3,808
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 4,219 claims · $2.5M
Generic: 19,472 claims · $795K
Patient Profile
72
Avg Age
49%
Female
1.30
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