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
25,569
Total Claims
$2.5M
Drug Cost
1,162
Beneficiaries
$2,137
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+299%
Opioid rate vs peers
9.9% vs 2.5% avg
+89%
Cost per patient vs peers
$2,137 vs $1,128 avg
+37%
Brand preference vs peers
11.5% vs 8.4% avg
🔎 Data Overview
Opioid rate is 299% above General 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
9.9%
Opioid Rate
2,523
Opioid Claims
$78K
Opioid Cost
9.0%
Long-Acting Rate
Brand vs Generic
Brand: 2,922 claims · $1.8M
Generic: 22,473 claims · $661K
Patient Profile
69
Avg Age
55%
Female
1.47
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