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
5,489
Total Claims
$333K
Drug Cost
356
Beneficiaries
$934
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+1184%
Opioid rate vs peers
31.8% vs 2.5% avg
-17%
Cost per patient vs peers
$934 vs $1,128 avg
-21%
Brand preference vs peers
6.6% vs 8.4% 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 1,184% above the average for General 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
31.8%
Opioid Rate
1,745
Opioid Claims
$125K
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 31.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 362 claims · $124K
Generic: 5,107 claims · $207K
Patient Profile
69
Avg Age
53%
Female
1.45
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