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
11,555
Total Claims
$1.2M
Drug Cost
591
Beneficiaries
$2,008
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+620%
Opioid rate vs peers
17.8% vs 2.5% avg
+78%
Cost per patient vs peers
$2,008 vs $1,128 avg
+40%
Brand preference vs peers
11.8% vs 8.4% avg
🔎 Data Overview
Opioid prescribing rate is 620% above the average for General 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
17.8%
Opioid Rate
2,058
Opioid Claims
$98K
Opioid Cost
16.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,355 claims · $917K
Generic: 10,129 claims · $264K
Patient Profile
67
Avg Age
50%
Female
1.94
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