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
170
Total Claims
$14K
Drug Cost
36
Beneficiaries
$402
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+995%
Opioid rate vs peers
28.2% vs 2.6% avg
-62%
Cost per patient vs peers
$402 vs $1,068 avg
-28%
Brand preference vs peers
6.5% 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 prescribing rate is 995% above the average for Family Practice 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
28.2%
Opioid Rate
48
Opioid Claims
$6,680
Opioid Cost
45.8%
Long-Acting Rate
This provider's opioid prescribing rate of 28.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $5,038
Generic: 159 claims · $9,423
Patient Profile
78
Avg Age
44%
Female
2.88
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