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
23,667
Total Claims
$3.1M
Drug Cost
431
Beneficiaries
$7,120
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+367%
Opioid rate vs peers
11.6% vs 2.5% avg
+531%
Cost per patient vs peers
$7,120 vs $1,128 avg
+61%
Brand preference vs peers
13.5% vs 8.4% avg
🔎 Data Overview
Opioid rate is 367% above General Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 531% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
11.6%
Opioid Rate
2,737
Opioid Claims
$56K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,182 claims · $2.6M
Generic: 20,336 claims · $475K
Patient Profile
63
Avg Age
53%
Female
1.60
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