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
4,575
Total Claims
$355K
Drug Cost
241
Beneficiaries
$1,471
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+437%
Opioid rate vs peers
13.9% vs 2.6% avg
+38%
Cost per patient vs peers
$1,471 vs $1,068 avg
+50%
Brand preference vs peers
13.5% vs 9.0% avg
🔎 Data Overview
Opioid rate is 437% 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
13.9%
Opioid Rate
634
Opioid Claims
$42K
Opioid Cost
26.0%
Long-Acting Rate
Brand vs Generic
Brand: 613 claims · $273K
Generic: 3,931 claims · $80K
Patient Profile
73
Avg Age
54%
Female
1.28
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