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
3,950
Total Claims
$538K
Drug Cost
200
Beneficiaries
$2,689
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+350%
Opioid rate vs peers
11.6% vs 2.6% avg
+152%
Cost per patient vs peers
$2,689 vs $1,068 avg
+37%
Brand preference vs peers
12.3% vs 9.0% avg
🔎 Data Overview
Opioid rate is 350% 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
11.6%
Opioid Rate
458
Opioid Claims
$56K
Opioid Cost
32.3%
Long-Acting Rate
Brand vs Generic
Brand: 477 claims · $384K
Generic: 3,405 claims · $151K
Patient Profile
74
Avg Age
67%
Female
0.89
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