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
52
Total Claims
$740
Drug Cost
32
Beneficiaries
$23
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 712 Family Medicine providers
+607%
Opioid rate vs peers
25.0% vs 3.5% avg
-97%
Cost per patient vs peers
$23 vs $816 avg
🔎 Data Overview
Opioid prescribing rate is 607% above the average for Family Medicine 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
25.0%
Opioid Rate
13
Opioid Claims
$170
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 25.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 48 claims · $527
Patient Profile
81
Avg Age
—
Female
2.80
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 of wrongdoing.Methodology · About · Dispute this data