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
11,596
Total Claims
$1.1M
Drug Cost
319
Beneficiaries
$3,479
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+831%
Opioid rate vs peers
23.0% vs 2.5% avg
+208%
Cost per patient vs peers
$3,479 vs $1,128 avg
+8%
Brand preference vs peers
9.1% vs 8.4% avg
🔎 Data Overview
Opioid prescribing rate is 831% above the average for General 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
23.0%
Opioid Rate
2,671
Opioid Claims
$269K
Opioid Cost
15.9%
Long-Acting Rate
This provider's opioid prescribing rate of 23.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,053 claims · $643K
Generic: 10,502 claims · $464K
Patient Profile
66
Avg Age
45%
Female
1.01
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