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
13,657
Total Claims
$1.3M
Drug Cost
817
Beneficiaries
$1,599
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+524%
Opioid rate vs peers
16.1% vs 2.6% avg
+50%
Cost per patient vs peers
$1,599 vs $1,068 avg
+28%
Brand preference vs peers
11.5% 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 524% 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
16.1%
Opioid Rate
2,196
Opioid Claims
$90K
Opioid Cost
6.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,563 claims · $881K
Generic: 11,972 claims · $414K
Patient Profile
68
Avg Age
63%
Female
2.19
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