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
5,255
Total Claims
$417K
Drug Cost
321
Beneficiaries
$1,298
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1429%
Opioid rate vs peers
39.4% vs 2.6% avg
+22%
Cost per patient vs peers
$1,298 vs $1,068 avg
+12%
Brand preference vs peers
10.1% 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 prescribing rate is 1,429% 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
39.4%
Opioid Rate
2,072
Opioid Claims
$133K
Opioid Cost
10.9%
Long-Acting Rate
This provider's opioid prescribing rate of 39.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 530 claims · $281K
Generic: 4,708 claims · $135K
Patient Profile
61
Avg Age
55%
Female
2.14
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