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 →261
Total Claims
$6,570
Drug Cost
178
Beneficiaries
$37
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+132%
Opioid rate vs peers
21.8% vs 9.4% avg
🔎 Data Overview
Prescribes only 6 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
21.8%
Opioid Rate
57
Opioid Claims
$312
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 21.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 235 claims · $2,342
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Albuterol Sulfate | 11 | $390 |
| Cephalexin | 23 | $224 |
| Oxycodone Hcl | 24 | $107 |
| Hydrocodone/Acetaminophen | 17 | $96 |
| Prednisone | 29 | $76 |
| Tramadol Hcl | 14 | $31 |
Prescribing Profile
6
Unique Drugs
3.0
Anomaly Score
Patient Profile
71
Avg Age
62%
Female
1.96
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