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
18,551
Total Claims
$1.9M
Drug Cost
724
Beneficiaries
$2,684
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+201%
Opioid rate vs peers
7.8% vs 2.6% avg
+151%
Cost per patient vs peers
$2,684 vs $1,068 avg
+33%
Brand preference vs peers
11.9% vs 9.0% avg
🔎 Data Overview
Opioid rate is 201% 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
7.8%
Opioid Rate
1,441
Opioid Claims
$46K
Opioid Cost
4.0%
Long-Acting Rate
Brand vs Generic
Brand: 2,195 claims · $1.6M
Generic: 16,204 claims · $292K
Patient Profile
69
Avg Age
55%
Female
1.18
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