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
488
Total Claims
$35K
Drug Cost
155
Beneficiaries
$227
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+552%
Opioid rate vs peers
16.8% vs 2.6% avg
-79%
Cost per patient vs peers
$227 vs $1,068 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 552% 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
16.8%
Opioid Rate
82
Opioid Claims
$5,717
Opioid Cost
50.0%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 412 claims · $15K
Patient Profile
82
Avg Age
59%
Female
2.66
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