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
5,263
Total Claims
$310K
Drug Cost
474
Beneficiaries
$655
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+754%
Opioid rate vs peers
22.0% vs 2.6% avg
-39%
Cost per patient vs peers
$655 vs $1,068 avg
+26%
Brand preference vs peers
11.3% 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 754% 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
22.0%
Opioid Rate
1,159
Opioid Claims
$54K
Opioid Cost
19.7%
Long-Acting Rate
This provider's opioid prescribing rate of 22.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 592 claims · $189K
Generic: 4,628 claims · $118K
Patient Profile
74
Avg Age
59%
Female
2.88
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