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
21,542
Total Claims
$1.9M
Drug Cost
990
Beneficiaries
$1,904
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+395%
Opioid rate vs peers
12.8% vs 2.6% avg
+78%
Cost per patient vs peers
$1,904 vs $1,068 avg
+41%
Brand preference vs peers
12.7% vs 9.0% avg
🔎 Data Overview
Opioid rate is 395% 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
12.8%
Opioid Rate
2,749
Opioid Claims
$105K
Opioid Cost
10.9%
Long-Acting Rate
Brand vs Generic
Brand: 2,730 claims · $1.3M
Generic: 18,735 claims · $540K
Patient Profile
72
Avg Age
46%
Female
1.31
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