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
107
Total Claims
$2,572
Drug Cost
55
Beneficiaries
$47
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
-43%
Opioid rate vs peers
17.8% vs 31.0% avg
🔎 Data Overview
Prescribes only 5 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
17.8%
Opioid Rate
19
Opioid Claims
$141
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 103 claims · $822
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Celecoxib | 28 | $411 |
| Oxycodone Hcl/Acetaminophen | 19 | $141 |
| Methylprednisolone | 11 | $80 |
| Ondansetron | 16 | $74 |
| Meloxicam | 21 | $66 |
Prescribing Profile
5
Unique Drugs
6.0
Anomaly Score
Patient Profile
75
Avg Age
66%
Female
1.41
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