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
31,574
Total Claims
$3.0M
Drug Cost
1,432
Beneficiaries
$2,100
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+209%
Opioid rate vs peers
8.0% vs 2.6% avg
+97%
Cost per patient vs peers
$2,100 vs $1,068 avg
+27%
Brand preference vs peers
11.4% vs 9.0% avg
🔎 Data Overview
Opioid rate is 209% 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
8.0%
Opioid Rate
2,514
Opioid Claims
$51K
Opioid Cost
3.1%
Long-Acting Rate
Brand vs Generic
Brand: 3,579 claims · $2.3M
Generic: 27,742 claims · $649K
Patient Profile
70
Avg Age
59%
Female
1.34
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