Risk Flags
high_opioid_vs_peers99th_pctile_opioidvery_low_drug_diversity
Risk indicators are statistical patterns, not allegations. Learn more
237
Total Claims
$2,806
Drug Cost
148
Beneficiaries
$19
Cost/Patient
Risk Score Breakdown 31/100
Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+15
Opioid rate vs specialty peers+10
Low drug diversity+6
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+152%
Opioid rate vs peers
78.1% vs 31.0% avg
Opioid Prescribing
78.1%
Opioid Rate
185
Opioid Claims
$1,688
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 78.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
100% generic
Brand: 0 claims · $0
Generic: 235 claims · $2,636
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 144 | $1,220 |
| Cephalexin | 11 | $517 |
| Hydrocodone/Acetaminophen | 21 | $193 |
| Ondansetron Hcl | 11 | $135 |
Prescribing Profile
4
Unique Drugs
31.0
Anomaly Score
Patient Profile
72
Avg Age
53%
Female
0.95
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