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
2,780
Total Claims
$255K
Drug Cost
141
Beneficiaries
$1,806
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+2150%
Opioid rate vs peers
55.7% vs 2.5% avg
+60%
Cost per patient vs peers
$1,806 vs $1,128 avg
-9%
Brand preference vs peers
7.7% vs 8.4% 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 2,150% above the average for General 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
55.7%
Opioid Rate
1,548
Opioid Claims
$190K
Opioid Cost
32.8%
Long-Acting Rate
This provider's opioid prescribing rate of 55.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 213 claims · $161K
Generic: 2,567 claims · $94K
Patient Profile
70
Avg Age
59%
Female
1.38
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