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
614
Total Claims
$51K
Drug Cost
78
Beneficiaries
$659
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1296%
Opioid rate vs peers
36.0% vs 2.6% avg
-38%
Cost per patient vs peers
$659 vs $1,068 avg
+11%
Brand preference vs peers
10.0% 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 1,296% 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
36.0%
Opioid Rate
221
Opioid Claims
$26K
Opioid Cost
24.0%
Long-Acting Rate
This provider's opioid prescribing rate of 36.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 60 claims · $40K
Generic: 542 claims · $11K
Patient Profile
71
Avg Age
50%
Female
1.31
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