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
3,447
Total Claims
$1.2M
Drug Cost
147
Beneficiaries
$8,142
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+407%
Opioid rate vs peers
13.1% vs 2.6% avg
+662%
Cost per patient vs peers
$8,142 vs $1,068 avg
-14%
Brand preference vs peers
7.7% 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 407% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 662% 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
13.1%
Opioid Rate
451
Opioid Claims
$25K
Opioid Cost
17.1%
Long-Acting Rate
Brand vs Generic
Brand: 265 claims · $1.1M
Generic: 3,168 claims · $67K
Patient Profile
68
Avg Age
51%
Female
1.04
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