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
16,313
Total Claims
$2.0M
Drug Cost
601
Beneficiaries
$3,377
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+726%
Opioid rate vs peers
21.3% vs 2.6% avg
+216%
Cost per patient vs peers
$3,377 vs $1,068 avg
+48%
Brand preference vs peers
13.3% 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 726% 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
21.3%
Opioid Rate
3,474
Opioid Claims
$199K
Opioid Cost
10.0%
Long-Acting Rate
This provider's opioid prescribing rate of 21.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 2,162 claims · $1.6M
Generic: 14,093 claims · $446K
Patient Profile
66
Avg Age
57%
Female
1.95
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