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
10,357
Total Claims
$852K
Drug Cost
290
Beneficiaries
$2,937
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+508%
Opioid rate vs peers
15.7% vs 2.6% avg
+175%
Cost per patient vs peers
$2,937 vs $1,068 avg
+9%
Brand preference vs peers
9.8% vs 9.0% avg
🔎 Data Overview
Opioid prescribing rate is 508% 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
15.7%
Opioid Rate
1,625
Opioid Claims
$109K
Opioid Cost
25.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,013 claims · $668K
Generic: 9,286 claims · $182K
Patient Profile
65
Avg Age
52%
Female
0.97
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