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
6,461
Total Claims
$664K
Drug Cost
287
Beneficiaries
$2,315
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+374%
Opioid rate vs peers
12.2% vs 2.6% avg
+117%
Cost per patient vs peers
$2,315 vs $1,068 avg
+56%
Brand preference vs peers
14.1% vs 9.0% avg
🔎 Data Overview
Opioid rate is 374% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.2%
Opioid Rate
790
Opioid Claims
$60K
Opioid Cost
25.3%
Long-Acting Rate
Brand vs Generic
Brand: 897 claims · $562K
Generic: 5,487 claims · $99K
Patient Profile
73
Avg Age
66%
Female
1.25
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