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
12,982
Total Claims
$1.3M
Drug Cost
554
Beneficiaries
$2,298
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+426%
Opioid rate vs peers
13.6% vs 2.6% avg
+115%
Cost per patient vs peers
$2,298 vs $1,068 avg
+22%
Brand preference vs peers
11.0% vs 9.0% avg
🔎 Data Overview
Opioid rate is 426% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
13.6%
Opioid Rate
1,762
Opioid Claims
$59K
Opioid Cost
17.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,422 claims · $969K
Generic: 11,479 claims · $301K
Patient Profile
70
Avg Age
49%
Female
1.29
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