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
76
Total Claims
$647
Drug Cost
60
Beneficiaries
$11
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+136%
Opioid rate vs peers
71.1% vs 30.2% avg
-96%
Cost per patient vs peers
$11 vs $253 avg
Opioid Prescribing
71.1%
Opioid Rate
54
Opioid Claims
$229
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 71.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 74 claims · $604
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 50 | $218 |
Prescribing Profile
1
Unique Drugs
15.0
Anomaly Score
Patient Profile
70
Avg Age
30%
Female
1.94
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