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
3,468
Total Claims
$610K
Drug Cost
116
Beneficiaries
$5,262
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+613%
Opioid rate vs peers
18.4% vs 2.6% avg
+393%
Cost per patient vs peers
$5,262 vs $1,068 avg
+33%
Brand preference vs peers
12.0% 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 613% 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
18.4%
Opioid Rate
638
Opioid Claims
$133K
Opioid Cost
12.2%
Long-Acting Rate
Brand vs Generic
Brand: 411 claims · $441K
Generic: 3,016 claims · $168K
Patient Profile
69
Avg Age
60%
Female
0.92
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