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
3,690
Total Claims
$295K
Drug Cost
234
Beneficiaries
$1,261
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+1986%
Opioid rate vs peers
51.6% vs 2.5% avg
+12%
Cost per patient vs peers
$1,261 vs $1,128 avg
-11%
Brand preference vs peers
7.5% 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 1,986% 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
51.6%
Opioid Rate
1,905
Opioid Claims
$143K
Opioid Cost
31.2%
Long-Acting Rate
This provider's opioid prescribing rate of 51.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 276 claims · $184K
Generic: 3,414 claims · $111K
Patient Profile
66
Avg Age
44%
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