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
23,974
Total Claims
$1.6M
Drug Cost
882
Beneficiaries
$1,792
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+232%
Opioid rate vs peers
8.6% vs 2.6% avg
+68%
Cost per patient vs peers
$1,792 vs $1,068 avg
+18%
Brand preference vs peers
10.7% vs 9.0% avg
🔎 Data Overview
Opioid rate is 232% 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
8.6%
Opioid Rate
2,050
Opioid Claims
$52K
Opioid Cost
3.9%
Long-Acting Rate
Brand vs Generic
Brand: 2,544 claims · $1.2M
Generic: 21,342 claims · $422K
Patient Profile
72
Avg Age
57%
Female
1.23
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