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
17,207
Total Claims
$619K
Drug Cost
1,734
Beneficiaries
$357
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+3409%
Opioid rate vs peers
86.9% vs 2.5% avg
-68%
Cost per patient vs peers
$357 vs $1,128 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 3,409% 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
86.9%
Opioid Rate
14,948
Opioid Claims
$496K
Opioid Cost
10.3%
Long-Acting Rate
This provider's opioid prescribing rate of 86.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 16,406 claims · $477K
Patient Profile
74
Avg Age
64%
Female
3.44
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