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
10,343
Total Claims
$570K
Drug Cost
337
Beneficiaries
$1,692
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+542%
Opioid rate vs peers
16.6% vs 2.6% avg
+58%
Cost per patient vs peers
$1,692 vs $1,068 avg
+17%
Brand preference vs peers
10.5% 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 542% 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
16.6%
Opioid Rate
1,712
Opioid Claims
$57K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,086 claims · $319K
Generic: 9,220 claims · $250K
Patient Profile
68
Avg Age
49%
Female
1.61
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