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
5,896
Total Claims
$623K
Drug Cost
445
Beneficiaries
$1,399
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+53%
Opioid rate vs peers
46.0% vs 30.2% avg
+454%
Cost per patient vs peers
$1,399 vs $253 avg
+156%
Brand preference vs peers
12.8% vs 5.0% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
46.0%
Opioid Rate
2,714
Opioid Claims
$322K
Opioid Cost
26.2%
Long-Acting Rate
This provider's opioid prescribing rate of 46.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 754 claims · $488K
Generic: 5,142 claims · $135K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 368 | $180K |
| Lidocaine | 91 | $102K |
| Methylnaltrexone Bromide | 35 | $81K |
| Naloxegol Oxalate | 86 | $41K |
| Oxycodone Hcl | 58 | $25K |
| Buprenorphine Hcl | 27 | $23K |
| Oxycodone Hcl/Acetaminophen | 780 | $23K |
| Hydrocodone Bitartrate | 26 | $19K |
| Pregabalin | 365 | $11K |
| Oxycodone Hcl | 703 | $11K |
| Baclofen | 833 | $11K |
| Gabapentin | 685 | $9,937 |
| Buprenorphine | 20 | $9,711 |
| Buprenorphine Hcl/Naloxone Hcl | 28 | $8,282 |
| Oxycodone Hcl/Acetaminophen | 237 | $7,656 |
Prescribing Profile
27
Unique Drugs
24.0
Anomaly Score
Patient Profile
62
Avg Age
58%
Female
1.71
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