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
22,722
Total Claims
$2.7M
Drug Cost
418
Beneficiaries
$6,572
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+202%
Opioid rate vs peers
7.8% vs 2.6% avg
+515%
Cost per patient vs peers
$6,572 vs $1,068 avg
+59%
Brand preference vs peers
14.3% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 202% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 515% 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
7.8%
Opioid Rate
1,768
Opioid Claims
$52K
Opioid Cost
2.1%
Long-Acting Rate
Brand vs Generic
Brand: 3,226 claims · $2.3M
Generic: 19,338 claims · $438K
Patient Profile
65
Avg Age
61%
Female
1.62
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