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
969
Total Claims
$80K
Drug Cost
253
Beneficiaries
$316
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+820%
Opioid rate vs peers
23.7% vs 2.6% avg
-70%
Cost per patient vs peers
$316 vs $1,068 avg
-23%
Brand preference vs peers
6.9% 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 820% 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
23.7%
Opioid Rate
230
Opioid Claims
$12K
Opioid Cost
53.0%
Long-Acting Rate
This provider's opioid prescribing rate of 23.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 67 claims · $57K
Generic: 902 claims · $22K
Patient Profile
76
Avg Age
59%
Female
2.86
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