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
404
Total Claims
$50K
Drug Cost
56
Beneficiaries
$901
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+3519%
Opioid rate vs peers
93.3% vs 2.6% avg
-16%
Cost per patient vs peers
$901 vs $1,068 avg
+27%
Brand preference vs peers
11.4% 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 3,519% 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
93.3%
Opioid Rate
377
Opioid Claims
$50K
Opioid Cost
52.3%
Long-Acting Rate
This provider's opioid prescribing rate of 93.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 46 claims · $34K
Generic: 358 claims · $17K
Patient Profile
73
Avg Age
46%
Female
3.55
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