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
1,807
Total Claims
$357K
Drug Cost
104
Beneficiaries
$3,436
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1525%
Opioid rate vs peers
41.9% vs 2.6% avg
+222%
Cost per patient vs peers
$3,436 vs $1,068 avg
+132%
Brand preference vs peers
20.9% 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 1,525% 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
41.9%
Opioid Rate
757
Opioid Claims
$100K
Opioid Cost
23.9%
Long-Acting Rate
This provider's opioid prescribing rate of 41.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 378 claims · $285K
Generic: 1,429 claims · $73K
Patient Profile
65
Avg Age
64%
Female
1.70
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