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
6,644
Total Claims
$478K
Drug Cost
262
Beneficiaries
$1,823
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+633%
Opioid rate vs peers
18.1% vs 2.5% avg
+62%
Cost per patient vs peers
$1,823 vs $1,128 avg
-2%
Brand preference vs peers
8.2% vs 8.4% avg
🔎 Data Overview
Opioid prescribing rate is 633% 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
18.1%
Opioid Rate
1,206
Opioid Claims
$46K
Opioid Cost
11.8%
Long-Acting Rate
Brand vs Generic
Brand: 542 claims · $273K
Generic: 6,068 claims · $204K
Patient Profile
73
Avg Age
53%
Female
1.19
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