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
1,604
Total Claims
$195K
Drug Cost
101
Beneficiaries
$1,932
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+1179%
Opioid rate vs peers
31.7% vs 2.5% avg
+71%
Cost per patient vs peers
$1,932 vs $1,128 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 1,179% above the average for General 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
31.7%
Opioid Rate
508
Opioid Claims
$115K
Opioid Cost
34.8%
Long-Acting Rate
This provider's opioid prescribing rate of 31.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,427 claims · $47K
Patient Profile
74
Avg Age
63%
Female
2.23
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