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
11,674
Total Claims
$1.2M
Drug Cost
467
Beneficiaries
$2,546
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+448%
Opioid rate vs peers
14.1% vs 2.6% avg
+138%
Cost per patient vs peers
$2,546 vs $1,068 avg
+17%
Brand preference vs peers
10.5% vs 9.0% avg
🔎 Data Overview
Opioid rate is 448% 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
14.1%
Opioid Rate
1,651
Opioid Claims
$44K
Opioid Cost
27.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,216 claims · $912K
Generic: 10,356 claims · $274K
Patient Profile
70
Avg Age
46%
Female
1.03
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