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
2,364
Total Claims
$208K
Drug Cost
402
Beneficiaries
$518
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1173%
Opioid rate vs peers
32.8% vs 2.6% avg
-51%
Cost per patient vs peers
$518 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.
🔎 Data Overview
Opioid prescribing rate is 1,173% 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
32.8%
Opioid Rate
776
Opioid Claims
$49K
Opioid Cost
16.6%
Long-Acting Rate
This provider's opioid prescribing rate of 32.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 288 claims · $146K
Generic: 2,064 claims · $62K
Patient Profile
70
Avg Age
67%
Female
3.61
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