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
497
Total Claims
$12K
Drug Cost
97
Beneficiaries
$125
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+941%
Opioid rate vs peers
36.8% vs 3.5% avg
-85%
Cost per patient vs peers
$125 vs $816 avg
-19%
Brand preference vs peers
5.0% vs 6.2% 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 941% above the average for Family 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
36.8%
Opioid Rate
183
Opioid Claims
$5,990
Opioid Cost
28.4%
Long-Acting Rate
This provider's opioid prescribing rate of 36.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 25 claims · $3,411
Generic: 472 claims · $8,759
Patient Profile
79
Avg Age
58%
Female
3.23
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