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
90
Total Claims
$665
Drug Cost
64
Beneficiaries
$10
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+88%
Opioid rate vs peers
56.7% vs 30.2% avg
-96%
Cost per patient vs peers
$10 vs $253 avg
🔎 Data Overview
Prescribes only 3 unique drugs with a 56.7% 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
56.7%
Opioid Rate
51
Opioid Claims
$251
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 90 claims · $665
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 19 | $115 |
| Oxycodone Hcl/Acetaminophen | 16 | $113 |
| Tramadol Hcl | 15 | $22 |
Prescribing Profile
3
Unique Drugs
10.0
Anomaly Score
Patient Profile
70
Avg Age
67%
Female
1.40
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About