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
4,313
Total Claims
$357K
Drug Cost
636
Beneficiaries
$562
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2064%
Opioid rate vs peers
55.8% vs 2.6% avg
-47%
Cost per patient vs peers
$562 vs $1,068 avg
+1%
Brand preference vs peers
9.1% 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 2,064% 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
55.8%
Opioid Rate
2,407
Opioid Claims
$230K
Opioid Cost
20.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 391 claims · $224K
Generic: 3,922 claims · $133K
Patient Profile
65
Avg Age
62%
Female
1.83
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