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
832
Total Claims
$40K
Drug Cost
125
Beneficiaries
$321
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1969%
Opioid rate vs peers
53.4% vs 2.6% avg
-70%
Cost per patient vs peers
$321 vs $1,068 avg
-24%
Brand preference vs peers
6.9% 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 1,969% 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
53.4%
Opioid Rate
444
Opioid Claims
$26K
Opioid Cost
38.5%
Long-Acting Rate
This provider's opioid prescribing rate of 53.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 57 claims · $12K
Generic: 775 claims · $28K
Patient Profile
70
Avg Age
53%
Female
3.23
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