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
390
Total Claims
$15K
Drug Cost
260
Beneficiaries
$57
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+189%
Opioid rate vs peers
27.2% vs 9.4% avg
Opioid Prescribing
27.2%
Opioid Rate
106
Opioid Claims
$527
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 27.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 361 claims · $2,554
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 18 | $12K |
| Cefuroxime Axetil | 23 | $395 |
| Hydrocodone/Acetaminophen | 68 | $337 |
| Ondansetron | 36 | $185 |
| Oxycodone Hcl/Acetaminophen | 24 | $125 |
| Oxycodone Hcl | 13 | $63 |
| Cyclobenzaprine Hcl | 16 | $57 |
| Ibuprofen | 17 | $56 |
| Prednisone | 24 | $49 |
| Tamsulosin Hcl | 14 | $49 |
| Meclizine Hcl | 11 | $46 |
| Ibuprofen | 11 | $27 |
Prescribing Profile
Patient Profile
74
Avg Age
62%
Female
1.49
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