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
107
Total Claims
$6,555
Drug Cost
52
Beneficiaries
$126
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+1749%
Opioid rate vs peers
65.4% vs 3.5% avg
-85%
Cost per patient vs peers
$126 vs $816 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 1,749% above the average for Family Medicine 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
65.4%
Opioid Rate
70
Opioid Claims
$5,509
Opioid Cost
35.7%
Long-Acting Rate
This provider's opioid prescribing rate of 65.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 104 claims · $6,041
Patient Profile
70
Avg Age
62%
Female
3.02
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About