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
241
Total Claims
$18K
Drug Cost
49
Beneficiaries
$359
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+2442%
Opioid rate vs peers
65.6% vs 2.6% avg
-66%
Cost per patient vs peers
$359 vs $1,068 avg
-8%
Brand preference vs peers
8.3% 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 2,442% 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
65.6%
Opioid Rate
158
Opioid Claims
$11K
Opioid Cost
44.9%
Long-Acting Rate
This provider's opioid prescribing rate of 65.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $12K
Generic: 221 claims · $6,073
Patient Profile
71
Avg Age
59%
Female
3.14
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