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
136
Total Claims
$2,423
Drug Cost
102
Beneficiaries
$24
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+33%
Opioid rate vs peers
12.5% vs 9.4% avg
🔎 Data Overview
Prescribes only 3 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
12.5%
Opioid Rate
17
Opioid Claims
$128
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 120 claims · $1,500
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cephalexin | 19 | $191 |
| Prednisone | 15 | $122 |
| Hydrocodone/Acetaminophen | 12 | $89 |
Prescribing Profile
3
Unique Drugs
6.0
Anomaly Score
Patient Profile
75
Avg Age
62%
Female
1.40
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