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
114
Total Claims
$1,668
Drug Cost
81
Beneficiaries
$21
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+12%
Opioid rate vs peers
10.5% vs 9.4% avg
🔎 Data Overview
Prescribes only 3 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
10.5%
Opioid Rate
12
Opioid Claims
$32
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 107 claims · $821
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cephalexin | 16 | $94 |
| Prednisone | 15 | $38 |
| Metoclopramide Hcl | 11 | $26 |
Prescribing Profile
3
Unique Drugs
6.0
Anomaly Score
Patient Profile
68
Avg Age
74%
Female
1.71
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