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
2,043
Total Claims
$127K
Drug Cost
161
Beneficiaries
$788
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1193%
Opioid rate vs peers
33.3% vs 2.6% avg
-26%
Cost per patient vs peers
$788 vs $1,068 avg
-32%
Brand preference vs peers
6.1% 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 1,193% 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
33.3%
Opioid Rate
681
Opioid Claims
$84K
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 33.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 124 claims · $83K
Generic: 1,900 claims · $43K
Patient Profile
61
Avg Age
56%
Female
1.77
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