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
221
Total Claims
$3,446
Drug Cost
152
Beneficiaries
$23
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+164%
Opioid rate vs peers
24.9% vs 9.4% avg
🔎 Data Overview
Prescribes only 4 unique drugs with a 24.9% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
24.9%
Opioid Rate
55
Opioid Claims
$197
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 24.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 202 claims · $2,136
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Nitrofurantoin Monohyd/M-Cryst | 15 | $412 |
| Ondansetron | 30 | $206 |
| Hydrocodone/Acetaminophen | 28 | $138 |
| Tramadol Hcl | 24 | $50 |
Prescribing Profile
4
Unique Drugs
6.0
Anomaly Score
Patient Profile
71
Avg Age
72%
Female
2.13
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About