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
2,341
Total Claims
$227K
Drug Cost
68
Beneficiaries
$3,337
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+614%
Opioid rate vs peers
18.4% vs 2.6% avg
+213%
Cost per patient vs peers
$3,337 vs $1,068 avg
+24%
Brand preference vs peers
11.1% 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 614% 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
18.4%
Opioid Rate
431
Opioid Claims
$98K
Opioid Cost
28.3%
Long-Acting Rate
Brand vs Generic
Brand: 259 claims · $155K
Generic: 2,066 claims · $71K
Patient Profile
68
Avg Age
66%
Female
0.82
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