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
98
Total Claims
$750
Drug Cost
68
Beneficiaries
$11
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,419 Neurosurgery providers
+232%
Opioid rate vs peers
89.8% vs 27.0% avg
-93%
Cost per patient vs peers
$11 vs $166 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 232% above Neurosurgery peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 3 unique drugs with a 89.8% 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
89.8%
Opioid Rate
88
Opioid Claims
$678
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 89.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 98 claims · $750
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 28 | $315 |
| Oxycodone Hcl | 45 | $266 |
| Oxycodone Hcl/Acetaminophen | 15 | $96 |
Prescribing Profile
3
Unique Drugs
33.0
Anomaly Score
Patient Profile
69
Avg Age
59%
Female
1.43
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