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
331
Total Claims
$53K
Drug Cost
17
Beneficiaries
$3,112
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1048%
Opioid rate vs peers
29.6% vs 2.6% avg
+191%
Cost per patient vs peers
$3,112 vs $1,068 avg
+195%
Brand preference vs peers
26.6% 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 1,048% 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
29.6%
Opioid Rate
98
Opioid Claims
$29K
Opioid Cost
56.1%
Long-Acting Rate
This provider's opioid prescribing rate of 29.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 88 claims · $45K
Generic: 243 claims · $8,357
Patient Profile
71
Avg Age
—
Female
0.97
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