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
2,899
Total Claims
$297K
Drug Cost
255
Beneficiaries
$1,166
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+557%
Opioid rate vs peers
16.9% vs 2.6% avg
+9%
Cost per patient vs peers
$1,166 vs $1,068 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 557% 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
16.9%
Opioid Rate
491
Opioid Claims
$19K
Opioid Cost
28.7%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,498 claims · $55K
Patient Profile
73
Avg Age
62%
Female
2.31
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