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
17,242
Total Claims
$1.9M
Drug Cost
826
Beneficiaries
$2,300
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+372%
Opioid rate vs peers
12.2% vs 2.6% avg
+115%
Cost per patient vs peers
$2,300 vs $1,068 avg
+27%
Brand preference vs peers
11.4% vs 9.0% avg
🔎 Data Overview
Opioid rate is 372% 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
12.2%
Opioid Rate
2,097
Opioid Claims
$73K
Opioid Cost
23.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,954 claims · $1.5M
Generic: 15,185 claims · $418K
Patient Profile
73
Avg Age
48%
Female
0.88
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