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
22,067
Total Claims
$1.9M
Drug Cost
758
Beneficiaries
$2,483
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+514%
Opioid rate vs peers
15.8% vs 2.6% avg
+133%
Cost per patient vs peers
$2,483 vs $1,068 avg
+17%
Brand preference vs peers
10.5% vs 9.0% avg
🔎 Data Overview
Opioid prescribing rate is 514% above the average for Family 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
15.8%
Opioid Rate
3,496
Opioid Claims
$145K
Opioid Cost
3.8%
Long-Acting Rate
Brand vs Generic
Brand: 2,306 claims · $1.5M
Generic: 19,579 claims · $374K
Patient Profile
70
Avg Age
55%
Female
1.33
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