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
14,962
Total Claims
$1.5M
Drug Cost
791
Beneficiaries
$1,852
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+417%
Opioid rate vs peers
13.3% vs 2.6% avg
+73%
Cost per patient vs peers
$1,852 vs $1,068 avg
+31%
Brand preference vs peers
11.8% vs 9.0% avg
🔎 Data Overview
Opioid rate is 417% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
13.3%
Opioid Rate
1,996
Opioid Claims
$160K
Opioid Cost
18.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,752 claims · $1.1M
Generic: 13,149 claims · $398K
Patient Profile
71
Avg Age
44%
Female
1.15
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