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
908
Total Claims
$20K
Drug Cost
186
Beneficiaries
$107
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+868%
Opioid rate vs peers
34.3% vs 3.5% avg
-87%
Cost per patient vs peers
$107 vs $816 avg
-8%
Brand preference vs peers
5.7% 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 868% 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
34.3%
Opioid Rate
311
Opioid Claims
$3,947
Opioid Cost
21.9%
Long-Acting Rate
This provider's opioid prescribing rate of 34.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 52 claims · $6,015
Generic: 856 claims · $14K
Patient Profile
79
Avg Age
57%
Female
3.46
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