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
7,449
Total Claims
$779K
Drug Cost
118
Beneficiaries
$6,600
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+482%
Opioid rate vs peers
15.0% vs 2.6% avg
+518%
Cost per patient vs peers
$6,600 vs $1,068 avg
+46%
Brand preference vs peers
13.1% 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 rate is 482% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 518% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
15.0%
Opioid Rate
1,118
Opioid Claims
$66K
Opioid Cost
20.6%
Long-Acting Rate
Brand vs Generic
Brand: 963 claims · $461K
Generic: 6,361 claims · $311K
Patient Profile
64
Avg Age
68%
Female
2.08
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