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
3,218
Total Claims
$138K
Drug Cost
516
Beneficiaries
$268
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 518 Preventive Medicine providers
+1764%
Opioid rate vs peers
62.1% vs 3.3% avg
-75%
Cost per patient vs peers
$268 vs $1,053 avg
-76%
Brand preference vs peers
3.8% vs 15.5% 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 1,764% above the average for Preventive Medicine 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
62.1%
Opioid Rate
1,997
Opioid Claims
$88K
Opioid Cost
10.7%
Long-Acting Rate
This provider's opioid prescribing rate of 62.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 122 claims · $75K
Generic: 3,096 claims · $63K
Patient Profile
69
Avg Age
59%
Female
1.98
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