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
37,375
Total Claims
$4.5M
Drug Cost
597
Beneficiaries
$7,528
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-48%
Opioid rate vs peers
1.3% vs 2.6% avg
+605%
Cost per patient vs peers
$7,528 vs $1,068 avg
+159%
Brand preference vs peers
23.3% vs 9.0% 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 605% 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
1.3%
Opioid Rate
498
Opioid Claims
$14K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 8,507 claims · $3.9M
Generic: 27,972 claims · $552K
Patient Profile
69
Avg Age
52%
Female
1.58
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