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
162
Total Claims
$4,396
Drug Cost
113
Beneficiaries
$39
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+2020%
Opioid rate vs peers
52.5% vs 2.5% avg
-97%
Cost per patient vs peers
$39 vs $1,128 avg
+54%
Brand preference vs peers
13.0% vs 8.4% 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 2,020% 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
52.5%
Opioid Rate
85
Opioid Claims
$234
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 52.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 21 claims · $3,182
Generic: 141 claims · $1,215
Patient Profile
70
Avg Age
51%
Female
1.40
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