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
12,154
Total Claims
$1.3M
Drug Cost
399
Beneficiaries
$3,182
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+571%
Opioid rate vs peers
17.3% vs 2.6% avg
+198%
Cost per patient vs peers
$3,182 vs $1,068 avg
+24%
Brand preference vs peers
11.1% 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 571% 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
17.3%
Opioid Rate
2,104
Opioid Claims
$115K
Opioid Cost
6.9%
Long-Acting Rate
Brand vs Generic
Brand: 1,347 claims · $970K
Generic: 10,735 claims · $295K
Patient Profile
71
Avg Age
52%
Female
1.35
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