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
1,497
Total Claims
$275K
Drug Cost
43
Beneficiaries
$6,407
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+620%
Opioid rate vs peers
18.6% vs 2.6% avg
+500%
Cost per patient vs peers
$6,407 vs $1,068 avg
+78%
Brand preference vs peers
16.0% 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 620% 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
18.6%
Opioid Rate
278
Opioid Claims
$64K
Opioid Cost
28.8%
Long-Acting Rate
Brand vs Generic
Brand: 237 claims · $230K
Generic: 1,240 claims · $44K
Patient Profile
65
Avg Age
49%
Female
1.30
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