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
57
Total Claims
$418
Drug Cost
43
Beneficiaries
$10
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+74%
Opioid rate vs peers
52.6% vs 30.2% avg
-96%
Cost per patient vs peers
$10 vs $253 avg
🔎 Data Overview
Prescribes only 1 unique drugs with a 52.6% 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
52.6%
Opioid Rate
30
Opioid Claims
$64
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 52.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 55 claims · $336
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Tramadol Hcl | 27 | $53 |
Prescribing Profile
1
Unique Drugs
10.0
Anomaly Score
Patient Profile
72
Avg Age
54%
Female
1.34
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