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
376
Total Claims
$52K
Drug Cost
41
Beneficiaries
$1,277
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+251%
Opioid rate vs peers
9.0% vs 2.6% avg
+20%
Cost per patient vs peers
$1,277 vs $1,068 avg
🔎 Data Overview
Opioid rate is 251% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
9.0%
Opioid Rate
34
Opioid Claims
$5,289
Opioid Cost
32.4%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 306 claims · $12K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 11 | $5,183 |
| Buprenorphine Hcl/Naloxone Hcl | 34 | $4,577 |
| Atorvastatin Calcium | 37 | $698 |
| Metformin Hcl | 14 | $322 |
| Losartan Potassium | 16 | $214 |
| Lisinopril | 13 | $199 |
| Gabapentin | 11 | $162 |
| Oxycodone Hcl/Acetaminophen | 11 | $64 |
| Tramadol Hcl | 11 | $19 |
Prescribing Profile
9
Unique Drugs
8.0
Anomaly Score
Patient Profile
68
Avg Age
54%
Female
1.15
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About