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
226
Total Claims
$4,045
Drug Cost
39
Beneficiaries
$104
Cost/Patient
Risk Score Breakdown 11/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,419 Neurosurgery providers
+46%
Opioid rate vs peers
39.4% vs 27.0% avg
-38%
Cost per patient vs peers
$104 vs $166 avg
🔎 Data Overview
Prescribes only 5 unique drugs with a 39.4% 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
39.4%
Opioid Rate
89
Opioid Claims
$1,960
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 39.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 226 claims · $4,045
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 72 | $1,354 |
| Gabapentin | 65 | $1,011 |
| Hydrocodone/Acetaminophen | 11 | $539 |
| Tizanidine Hcl | 13 | $156 |
| Methocarbamol | 13 | $94 |
Prescribing Profile
5
Unique Drugs
11.0
Anomaly Score
Patient Profile
66
Avg Age
54%
Female
1.58
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