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
4,447
Total Claims
$157K
Drug Cost
358
Beneficiaries
$438
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1541%
Opioid rate vs peers
42.3% vs 2.6% avg
-59%
Cost per patient vs peers
$438 vs $1,068 avg
-58%
Brand preference vs peers
3.8% 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 1,541% 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
42.3%
Opioid Rate
1,882
Opioid Claims
$59K
Opioid Cost
3.0%
Long-Acting Rate
This provider's opioid prescribing rate of 42.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 168 claims · $71K
Generic: 4,263 claims · $86K
Patient Profile
70
Avg Age
56%
Female
1.12
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