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
66
Total Claims
$5,964
Drug Cost
35
Beneficiaries
$170
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,716 Vascular Surgery providers
+366%
Opioid rate vs peers
53.0% vs 11.4% avg
-60%
Cost per patient vs peers
$170 vs $430 avg
🔎 Data Overview
Opioid rate is 366% above Vascular Surgery peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 2 unique drugs with a 53.0% 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
53.0%
Opioid Rate
35
Opioid Claims
$255
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 53.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 59 claims · $677
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Clopidogrel Bisulfate | 18 | $325 |
| Oxycodone Hcl | 34 | $248 |
Prescribing Profile
2
Unique Drugs
20.0
Anomaly Score
Patient Profile
75
Avg Age
—
Female
4.25
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