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
186
Total Claims
$19K
Drug Cost
0
Beneficiaries
$0
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1068%
Opioid rate vs peers
30.1% vs 2.6% avg
+8%
Brand preference vs peers
9.7% 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 1,068% 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
30.1%
Opioid Rate
56
Opioid Claims
$2,213
Opioid Cost
33.9%
Long-Acting Rate
This provider's opioid prescribing rate of 30.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $15K
Generic: 168 claims · $4,496
Patient Profile
56
Avg Age
—
Female
0.97
Avg Risk Score
Explore More
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