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
21,861
Total Claims
$1.6M
Drug Cost
814
Beneficiaries
$1,992
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+376%
Opioid rate vs peers
12.3% vs 2.6% avg
+87%
Cost per patient vs peers
$1,992 vs $1,068 avg
+18%
Brand preference vs peers
10.6% vs 9.0% avg
🔎 Data Overview
Opioid rate is 376% 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
12.3%
Opioid Rate
2,681
Opioid Claims
$163K
Opioid Cost
12.7%
Long-Acting Rate
Brand vs Generic
Brand: 2,309 claims · $1.2M
Generic: 19,418 claims · $436K
Patient Profile
70
Avg Age
53%
Female
1.52
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