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
17,178
Total Claims
$2.2M
Drug Cost
360
Beneficiaries
$6,048
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+399%
Opioid rate vs peers
12.9% vs 2.6% avg
+466%
Cost per patient vs peers
$6,048 vs $1,068 avg
+72%
Brand preference vs peers
15.5% vs 9.0% avg
🔎 Data Overview
Opioid rate is 399% 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
12.9%
Opioid Rate
2,209
Opioid Claims
$116K
Opioid Cost
5.7%
Long-Acting Rate
Brand vs Generic
Brand: 2,644 claims · $1.7M
Generic: 14,455 claims · $448K
Patient Profile
65
Avg Age
62%
Female
1.49
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