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
51,304
Total Claims
$8.0M
Drug Cost
991
Beneficiaries
$8,108
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
-21%
Opioid rate vs peers
1.9% vs 2.5% avg
+619%
Cost per patient vs peers
$8,108 vs $1,128 avg
+173%
Brand preference vs peers
22.9% 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 619% 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
1.9%
Opioid Rate
998
Opioid Claims
$78K
Opioid Cost
1.3%
Long-Acting Rate
Brand vs Generic
Brand: 11,595 claims · $6.4M
Generic: 38,955 claims · $1.6M
Patient Profile
80
Avg Age
60%
Female
1.47
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