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 →210
Total Claims
$2,890
Drug Cost
126
Beneficiaries
$23
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+138%
Opioid rate vs peers
22.4% vs 9.4% avg
🔎 Data Overview
Prescribes only 6 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
22.4%
Opioid Rate
47
Opioid Claims
$219
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 22.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 199 claims · $1,547
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ondansetron | 30 | $246 |
| Hydrocodone/Acetaminophen | 33 | $175 |
| Cephalexin | 13 | $111 |
| Azithromycin | 11 | $57 |
| Cyclobenzaprine Hcl | 11 | $53 |
| Prednisone | 15 | $30 |
Prescribing Profile
6
Unique Drugs
3.0
Anomaly Score
Patient Profile
73
Avg Age
63%
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