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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 →

Kelvin BurtonM.D.

Family Practice · Douglasville, GA 30135

NPI: 1487687331

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53

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peersHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

7,389

Total Claims

$819K

Drug Cost

333

Beneficiaries

$2,461

Cost/Patient

Risk Score Breakdown 53/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+1054%

Opioid rate vs peers

29.7% vs 2.6% avg

+130%

Cost per patient vs peers

$2,461 vs $1,068 avg

+36%

Brand preference vs peers

12.2% vs 9.0% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

29.7%

Opioid Rate

2,198

Opioid Claims

$284K

Opioid Cost

24.8%

Long-Acting Rate

This provider's opioid prescribing rate of 29.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

88% generic

Brand: 900 claims · $622K

Generic: 6,466 claims · $196K

Patient Profile

69

Avg Age

55%

Female

1.49

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