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
10,965
Total Claims
$830K
Drug Cost
189
Beneficiaries
$4,393
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+462%
Opioid rate vs peers
14.5% vs 2.6% avg
+311%
Cost per patient vs peers
$4,393 vs $1,068 avg
+36%
Brand preference vs peers
12.2% vs 9.0% avg
🔎 Data Overview
Opioid rate is 462% 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
14.5%
Opioid Rate
1,590
Opioid Claims
$35K
Opioid Cost
1.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,340 claims · $664K
Generic: 9,599 claims · $165K
Patient Profile
60
Avg Age
42%
Female
1.09
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