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
51
Total Claims
$1,199
Drug Cost
11
Beneficiaries
$109
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+3474%
Opioid rate vs peers
92.2% vs 2.6% avg
-90%
Cost per patient vs peers
$109 vs $1,068 avg
+183%
Brand preference vs peers
25.5% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 3,474% above the average for Family Practice providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
92.2%
Opioid Rate
47
Opioid Claims
$1,149
Opioid Cost
38.3%
Long-Acting Rate
This provider's opioid prescribing rate of 92.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 13 claims · $341
Generic: 38 claims · $859
Patient Profile
68
Avg Age
—
Female
3.17
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