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
488
Total Claims
$26K
Drug Cost
180
Beneficiaries
$147
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+40%
Opioid rate vs peers
43.4% vs 31.0% avg
Opioid Prescribing
43.4%
Opioid Rate
212
Opioid Claims
$1,575
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 43.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 13 claims · $8,034
Generic: 475 claims · $18K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Diclofenac Sodium | 12 | $7,826 |
| Calcipotriene | 11 | $5,862 |
| Celecoxib | 50 | $1,941 |
| Oxycodone Hcl/Acetaminophen | 135 | $1,120 |
| Meloxicam | 105 | $406 |
| Hydrocodone/Acetaminophen | 44 | $329 |
| Methylprednisolone | 16 | $127 |
| Tramadol Hcl | 32 | $109 |
| Prednisone | 15 | $70 |
| Cyclobenzaprine Hcl | 15 | $48 |
Prescribing Profile
10
Unique Drugs
8.0
Anomaly Score
Patient Profile
69
Avg Age
69%
Female
1.21
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