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
375
Total Claims
$8,710
Drug Cost
187
Beneficiaries
$47
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+3003%
Opioid rate vs peers
76.8% vs 2.5% avg
-96%
Cost per patient vs peers
$47 vs $1,128 avg
-27%
Brand preference vs peers
6.1% 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 3,003% 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
76.8%
Opioid Rate
288
Opioid Claims
$1,636
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 76.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $6,463
Generic: 352 claims · $2,248
Patient Profile
73
Avg Age
62%
Female
0.95
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