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
148
Total Claims
$2,146
Drug Cost
85
Beneficiaries
$25
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
-61%
Opioid rate vs peers
12.2% vs 31.0% avg
🔎 Data Overview
Prescribes only 4 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
12.2%
Opioid Rate
18
Opioid Claims
$167
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 147 claims · $2,142
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Diclofenac Sodium | 14 | $181 |
| Meloxicam | 46 | $164 |
| Gabapentin | 12 | $131 |
| Oxycodone Hcl | 12 | $109 |
Prescribing Profile
4
Unique Drugs
6.0
Anomaly Score
Patient Profile
71
Avg Age
69%
Female
0.83
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