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
2,194
Total Claims
$314K
Drug Cost
81
Beneficiaries
$3,879
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+1489%
Opioid rate vs peers
39.3% vs 2.5% avg
+244%
Cost per patient vs peers
$3,879 vs $1,128 avg
+20%
Brand preference vs peers
10.1% vs 8.4% 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 1,489% 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
39.3%
Opioid Rate
863
Opioid Claims
$201K
Opioid Cost
36.8%
Long-Acting Rate
This provider's opioid prescribing rate of 39.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 221 claims · $223K
Generic: 1,973 claims · $92K
Patient Profile
66
Avg Age
52%
Female
1.48
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