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
4,862
Total Claims
$762K
Drug Cost
221
Beneficiaries
$3,449
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+586%
Opioid rate vs peers
17.7% vs 2.6% avg
+223%
Cost per patient vs peers
$3,449 vs $1,068 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 586% 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
17.7%
Opioid Rate
860
Opioid Claims
$36K
Opioid Cost
22.8%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 4,299 claims · $219K
Patient Profile
67
Avg Age
61%
Female
1.66
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