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
82
Total Claims
$1,257
Drug Cost
53
Beneficiaries
$24
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+110%
Opioid rate vs peers
63.4% vs 30.2% avg
-91%
Cost per patient vs peers
$24 vs $253 avg
Opioid Prescribing
63.4%
Opioid Rate
52
Opioid Claims
$396
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 63.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 82 claims · $1,257
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 26 | $241 |
| Oxycodone Hcl | 18 | $108 |
Prescribing Profile
2
Unique Drugs
10.0
Anomaly Score
Patient Profile
70
Avg Age
43%
Female
1.65
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