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
19,563
Total Claims
$1.5M
Drug Cost
575
Beneficiaries
$2,675
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+223%
Opioid rate vs peers
8.3% vs 2.6% avg
+150%
Cost per patient vs peers
$2,675 vs $1,068 avg
+53%
Brand preference vs peers
13.8% vs 9.0% avg
🔎 Data Overview
Opioid rate is 223% 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
8.3%
Opioid Rate
1,631
Opioid Claims
$37K
Opioid Cost
3.3%
Long-Acting Rate
Brand vs Generic
Brand: 2,678 claims · $1.2M
Generic: 16,739 claims · $346K
Patient Profile
70
Avg Age
54%
Female
1.69
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