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
582
Total Claims
$838K
Drug Cost
77
Beneficiaries
$11K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+560%
Opioid rate vs peers
17.0% vs 2.6% avg
+919%
Cost per patient vs peers
$11K vs $1,068 avg
+610%
Brand preference vs peers
63.9% 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 560% above the average for Family Practice providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 919% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
17.0%
Opioid Rate
99
Opioid Claims
$25K
Opioid Cost
15.2%
Long-Acting Rate
Brand vs Generic
Brand: 372 claims · $824K
Generic: 210 claims · $14K
Patient Profile
64
Avg Age
18%
Female
1.21
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