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
6,706
Total Claims
$854K
Drug Cost
372
Beneficiaries
$2,296
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+778%
Opioid rate vs peers
22.7% vs 2.6% avg
+115%
Cost per patient vs peers
$2,296 vs $1,068 avg
+71%
Brand preference vs peers
15.4% 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 778% 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
22.7%
Opioid Rate
1,519
Opioid Claims
$217K
Opioid Cost
26.3%
Long-Acting Rate
This provider's opioid prescribing rate of 22.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,028 claims · $594K
Generic: 5,659 claims · $259K
Patient Profile
68
Avg Age
50%
Female
1.45
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