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
2,241
Total Claims
$124K
Drug Cost
365
Beneficiaries
$339
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+921%
Opioid rate vs peers
26.3% vs 2.6% avg
-68%
Cost per patient vs peers
$339 vs $1,068 avg
-22%
Brand preference vs peers
7.0% 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 921% 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
26.3%
Opioid Rate
590
Opioid Claims
$33K
Opioid Cost
34.7%
Long-Acting Rate
This provider's opioid prescribing rate of 26.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 155 claims · $61K
Generic: 2,056 claims · $63K
Patient Profile
74
Avg Age
48%
Female
2.76
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