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
3,182
Total Claims
$336K
Drug Cost
142
Beneficiaries
$2,365
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+662%
Opioid rate vs peers
19.6% vs 2.6% avg
+122%
Cost per patient vs peers
$2,365 vs $1,068 avg
+25%
Brand preference vs peers
11.3% 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 662% 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
19.6%
Opioid Rate
625
Opioid Claims
$99K
Opioid Cost
19.7%
Long-Acting Rate
Brand vs Generic
Brand: 357 claims · $250K
Generic: 2,811 claims · $85K
Patient Profile
72
Avg Age
54%
Female
1.30
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