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
91
Total Claims
$922
Drug Cost
73
Beneficiaries
$13
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+497%
Opioid rate vs peers
15.4% vs 2.6% avg
-99%
Cost per patient vs peers
$13 vs $1,068 avg
🔎 Data Overview
Opioid rate is 497% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 1 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
15.4%
Opioid Rate
14
Opioid Claims
$69
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 85 claims · $664
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 11 | $60 |
Prescribing Profile
1
Unique Drugs
10.0
Anomaly Score
Patient Profile
65
Avg Age
59%
Female
1.33
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.Methodology · About