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
3,833
Total Claims
$213K
Drug Cost
118
Beneficiaries
$1,808
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+1699%
Opioid rate vs peers
44.5% vs 2.5% avg
+60%
Cost per patient vs peers
$1,808 vs $1,128 avg
-14%
Brand preference vs peers
7.2% 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 1,699% 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
44.5%
Opioid Rate
1,707
Opioid Claims
$94K
Opioid Cost
31.6%
Long-Acting Rate
This provider's opioid prescribing rate of 44.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 274 claims · $107K
Generic: 3,514 claims · $105K
Patient Profile
63
Avg Age
45%
Female
1.69
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