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
336
Total Claims
$5,867
Drug Cost
120
Beneficiaries
$49
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
-5%
Opioid rate vs peers
33.0% vs 34.8% avg
-88%
Cost per patient vs peers
$49 vs $422 avg
🔎 Data Overview
Prescribes only 9 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
33.0%
Opioid Rate
111
Opioid Claims
$1,677
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 33.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 336 claims · $5,867
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Gabapentin | 62 | $1,662 |
| Hydrocodone/Acetaminophen | 48 | $617 |
| Duloxetine Hcl | 29 | $357 |
| Tizanidine Hcl | 14 | $238 |
| Cyclobenzaprine Hcl | 24 | $227 |
| Oxycodone Hcl | 21 | $220 |
| Pregabalin | 15 | $210 |
| Meloxicam | 22 | $138 |
| Tramadol Hcl | 20 | $102 |
Prescribing Profile
9
Unique Drugs
8.0
Anomaly Score
Patient Profile
65
Avg Age
69%
Female
1.85
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