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
5,060
Total Claims
$584K
Drug Cost
227
Beneficiaries
$2,573
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+366%
Opioid rate vs peers
12.0% vs 2.6% avg
+141%
Cost per patient vs peers
$2,573 vs $1,068 avg
+28%
Brand preference vs peers
11.5% vs 9.0% avg
🔎 Data Overview
Opioid rate is 366% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.0%
Opioid Rate
608
Opioid Claims
$31K
Opioid Cost
30.3%
Long-Acting Rate
Brand vs Generic
Brand: 580 claims · $384K
Generic: 4,445 claims · $198K
Patient Profile
70
Avg Age
49%
Female
1.21
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