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
615
Total Claims
$15K
Drug Cost
319
Beneficiaries
$48
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+65%
Opioid rate vs peers
51.2% vs 31.0% avg
Opioid Prescribing
51.2%
Opioid Rate
315
Opioid Claims
$8,128
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 51.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 614 claims · $15K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 230 | $6,855 |
| Diclofenac Sodium | 59 | $4,613 |
| Ibuprofen | 88 | $1,001 |
| Acetaminophen With Codeine | 34 | $710 |
| Oxycodone Hcl/Acetaminophen | 15 | $337 |
| Meloxicam | 38 | $299 |
| Tramadol Hcl | 35 | $223 |
| Celecoxib | 12 | $198 |
| Cephalexin | 18 | $148 |
| Levofloxacin | 13 | $42 |
| Amoxicillin | 28 | $41 |
Prescribing Profile
11
Unique Drugs
10.0
Anomaly Score
Patient Profile
72
Avg Age
65%
Female
1.70
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About