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
228
Total Claims
$12K
Drug Cost
110
Beneficiaries
$113
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2893%
Opioid rate vs peers
77.2% vs 2.6% avg
-89%
Cost per patient vs peers
$113 vs $1,068 avg
-17%
Brand preference vs peers
7.5% 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 2,893% 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
77.2%
Opioid Rate
176
Opioid Claims
$9,408
Opioid Cost
11.4%
Long-Acting Rate
This provider's opioid prescribing rate of 77.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 17 claims · $6,549
Generic: 211 claims · $5,934
Patient Profile
65
Avg Age
73%
Female
1.76
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