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
154
Total Claims
$14K
Drug Cost
0
Beneficiaries
$0
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+2104%
Opioid rate vs peers
54.5% vs 2.5% avg
-7%
Brand preference vs peers
7.8% vs 8.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 2,104% above the average for General Practice providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
54.5%
Opioid Rate
84
Opioid Claims
$3,096
Opioid Cost
42.9%
Long-Acting Rate
This provider's opioid prescribing rate of 54.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $2,747
Generic: 142 claims · $12K
Patient Profile
63
Avg Age
—
Female
0.88
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