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
10,997
Total Claims
$640K
Drug Cost
433
Beneficiaries
$1,478
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+601%
Opioid rate vs peers
18.1% vs 2.6% avg
+38%
Cost per patient vs peers
$1,478 vs $1,068 avg
+4%
Brand preference vs peers
9.3% 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 601% 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
18.1%
Opioid Rate
1,989
Opioid Claims
$66K
Opioid Cost
2.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,021 claims · $421K
Generic: 9,900 claims · $214K
Patient Profile
69
Avg Age
66%
Female
2.20
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