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
239
Total Claims
$16K
Drug Cost
111
Beneficiaries
$145
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+1083%
Opioid rate vs peers
41.8% vs 3.5% avg
-82%
Cost per patient vs peers
$145 vs $816 avg
+95%
Brand preference vs peers
12.1% vs 6.2% 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 1,083% above the average for Family Medicine 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
41.8%
Opioid Rate
100
Opioid Claims
$11K
Opioid Cost
38.0%
Long-Acting Rate
This provider's opioid prescribing rate of 41.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 29 claims · $8,892
Generic: 210 claims · $7,148
Patient Profile
76
Avg Age
57%
Female
3.04
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