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
18,780
Total Claims
$1.0M
Drug Cost
295
Beneficiaries
$3,516
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+311%
Opioid rate vs peers
10.6% vs 2.6% avg
+229%
Cost per patient vs peers
$3,516 vs $1,068 avg
-6%
Brand preference vs peers
8.4% vs 9.0% avg
🔎 Data Overview
Opioid rate is 311% 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
10.6%
Opioid Rate
1,990
Opioid Claims
$40K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,576 claims · $758K
Generic: 17,080 claims · $275K
Patient Profile
68
Avg Age
55%
Female
1.04
Avg Risk Score
Explore More
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