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
5,988
Total Claims
$481K
Drug Cost
163
Beneficiaries
$2,950
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+614%
Opioid rate vs peers
18.4% vs 2.6% avg
+176%
Cost per patient vs peers
$2,950 vs $1,068 avg
+40%
Brand preference vs peers
12.6% 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 614% 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
18.4%
Opioid Rate
1,102
Opioid Claims
$39K
Opioid Cost
13.6%
Long-Acting Rate
Brand vs Generic
Brand: 750 claims · $343K
Generic: 5,211 claims · $136K
Patient Profile
66
Avg Age
60%
Female
1.20
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