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
13,898
Total Claims
$1.4M
Drug Cost
525
Beneficiaries
$2,724
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+565%
Opioid rate vs peers
17.1% vs 2.6% avg
+155%
Cost per patient vs peers
$2,724 vs $1,068 avg
+37%
Brand preference vs peers
12.4% 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 565% 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
17.1%
Opioid Rate
2,384
Opioid Claims
$102K
Opioid Cost
10.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,706 claims · $1.1M
Generic: 12,083 claims · $302K
Patient Profile
65
Avg Age
46%
Female
1.26
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