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
535
Total Claims
$11K
Drug Cost
136
Beneficiaries
$83
Cost/Patient
Risk Score Breakdown 5/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,419 Neurosurgery providers
+20%
Opioid rate vs peers
32.5% vs 27.0% avg
-50%
Cost per patient vs peers
$83 vs $166 avg
Opioid Prescribing
32.5%
Opioid Rate
174
Opioid Claims
$3,078
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 32.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 531 claims · $11K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Pregabalin | 82 | $2,738 |
| Hydrocodone/Acetaminophen | 103 | $2,129 |
| Gabapentin | 75 | $1,217 |
| Baclofen | 23 | $843 |
| Methocarbamol | 32 | $810 |
| Methylprednisolone | 55 | $485 |
| Oxycodone Hcl/Acetaminophen | 18 | $420 |
| Cyclobenzaprine Hcl | 23 | $397 |
| Tramadol Hcl | 36 | $377 |
| Cephalexin | 11 | $294 |
| Acetaminophen With Codeine | 12 | $103 |
Prescribing Profile
11
Unique Drugs
5.0
Anomaly Score
Patient Profile
72
Avg Age
51%
Female
1.99
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