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
906
Total Claims
$67K
Drug Cost
264
Beneficiaries
$255
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1569%
Opioid rate vs peers
43.0% vs 2.6% avg
-76%
Cost per patient vs peers
$255 vs $1,068 avg
+25%
Brand preference vs peers
11.3% 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 1,569% 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
43.0%
Opioid Rate
390
Opioid Claims
$42K
Opioid Cost
31.3%
Long-Acting Rate
This provider's opioid prescribing rate of 43.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 102 claims · $35K
Generic: 804 claims · $32K
Patient Profile
65
Avg Age
60%
Female
3.09
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