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
250
Total Claims
$3,124
Drug Cost
113
Beneficiaries
$28
Cost/Patient
Risk Score Breakdown 13/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+81%
Opioid rate vs peers
56.0% vs 31.0% avg
Opioid Prescribing
56.0%
Opioid Rate
140
Opioid Claims
$1,192
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 246 claims · $2,039
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 90 | $849 |
| Cyclobenzaprine Hcl | 54 | $400 |
| Oxycodone Hcl | 25 | $198 |
| Tizanidine Hcl | 15 | $104 |
| Oxycodone Hcl/Acetaminophen | 11 | $68 |
| Tramadol Hcl | 11 | $48 |
Prescribing Profile
6
Unique Drugs
13.0
Anomaly Score
Patient Profile
70
Avg Age
62%
Female
1.05
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