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
667
Total Claims
$37K
Drug Cost
76
Beneficiaries
$493
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+522%
Opioid rate vs peers
16.0% vs 2.6% avg
-54%
Cost per patient vs peers
$493 vs $1,068 avg
-8%
Brand preference vs peers
8.2% 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 522% 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
16.0%
Opioid Rate
107
Opioid Claims
$3,586
Opioid Cost
45.8%
Long-Acting Rate
Brand vs Generic
Brand: 55 claims · $23K
Generic: 612 claims · $14K
Patient Profile
76
Avg Age
53%
Female
2.57
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