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
3,894
Total Claims
$468K
Drug Cost
181
Beneficiaries
$2,585
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+527%
Opioid rate vs peers
16.2% vs 2.6% avg
+142%
Cost per patient vs peers
$2,585 vs $1,068 avg
+104%
Brand preference vs peers
18.3% 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 527% 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
16.2%
Opioid Rate
630
Opioid Claims
$26K
Opioid Cost
19.8%
Long-Acting Rate
Brand vs Generic
Brand: 706 claims · $352K
Generic: 3,146 claims · $112K
Patient Profile
69
Avg Age
67%
Female
1.02
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