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 →360
Total Claims
$5,842
Drug Cost
96
Beneficiaries
$61
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
-31%
Opioid rate vs peers
21.4% vs 31.0% 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
21.4%
Opioid Rate
77
Opioid Claims
$438
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 21.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 360 claims · $5,842
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Celecoxib | 52 | $2,553 |
| Gabapentin | 87 | $970 |
| Tizanidine Hcl | 86 | $832 |
| Oxycodone Hcl/Acetaminophen | 31 | $250 |
| Methylprednisolone | 14 | $122 |
| Tramadol Hcl | 37 | $120 |
Prescribing Profile
6
Unique Drugs
3.0
Anomaly Score
Patient Profile
71
Avg Age
55%
Female
1.14
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