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
2,186
Total Claims
$247K
Drug Cost
102
Beneficiaries
$2,425
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2456%
Opioid rate vs peers
65.9% vs 2.6% avg
+127%
Cost per patient vs peers
$2,425 vs $1,068 avg
+50%
Brand preference vs peers
13.5% 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 2,456% 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
65.9%
Opioid Rate
1,441
Opioid Claims
$222K
Opioid Cost
33.4%
Long-Acting Rate
This provider's opioid prescribing rate of 65.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 295 claims · $184K
Generic: 1,891 claims · $63K
Patient Profile
64
Avg Age
40%
Female
1.86
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