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
5,001
Total Claims
$676K
Drug Cost
123
Beneficiaries
$5,495
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+669%
Opioid rate vs peers
19.8% vs 2.6% avg
+415%
Cost per patient vs peers
$5,495 vs $1,068 avg
+53%
Brand preference vs peers
13.8% 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 669% 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
19.8%
Opioid Rate
992
Opioid Claims
$124K
Opioid Cost
30.3%
Long-Acting Rate
Brand vs Generic
Brand: 685 claims · $536K
Generic: 4,283 claims · $138K
Patient Profile
63
Avg Age
43%
Female
1.36
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