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
2,516
Total Claims
$210K
Drug Cost
202
Beneficiaries
$1,038
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 518 Preventive Medicine providers
+1539%
Opioid rate vs peers
54.6% vs 3.3% avg
-1%
Cost per patient vs peers
$1,038 vs $1,053 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 1,539% above the average for Preventive Medicine 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
54.6%
Opioid Rate
1,373
Opioid Claims
$145K
Opioid Cost
40.8%
Long-Acting Rate
This provider's opioid prescribing rate of 54.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,293 claims · $88K
Patient Profile
62
Avg Age
53%
Female
1.73
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