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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 →298
Total Claims
$4,070
Drug Cost
204
Beneficiaries
$20
Cost/Patient
Risk Score Breakdown 3/100
Low (0)Moderate (15)Elevated (30)High (50+)
Low drug diversity+3
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+50%
Opioid rate vs peers
14.1% vs 9.4% avg
+239%
Brand preference vs peers
5.0% vs 1.5% avg
Opioid Prescribing
14.1%
Opioid Rate
42
Opioid Claims
$209
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
95% generic
Brand: 15 claims · $1,039
Generic: 283 claims · $3,032
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Albuterol Sulfate | 13 | $356 |
| Doxycycline Hyclate | 24 | $293 |
| Cephalexin | 32 | $228 |
| Hydrocodone/Acetaminophen | 31 | $167 |
| Ondansetron | 13 | $79 |
| Prednisone | 31 | $68 |
| Ibuprofen | 18 | $41 |
| Azithromycin | 12 | $39 |
Prescribing Profile
8
Unique Drugs
3.0
Anomaly Score
Patient Profile
70
Avg Age
62%
Female
1.83
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.Methodology · About