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
2,805
Total Claims
$114K
Drug Cost
503
Beneficiaries
$227
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 518 Preventive Medicine providers
+2300%
Opioid rate vs peers
79.9% vs 3.3% avg
-78%
Cost per patient vs peers
$227 vs $1,053 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 2,300% above the average for Preventive Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
79.9%
Opioid Rate
2,242
Opioid Claims
$102K
Opioid Cost
8.1%
Long-Acting Rate
This provider's opioid prescribing rate of 79.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,690 claims · $66K
Patient Profile
67
Avg Age
65%
Female
1.53
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