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
143
Total Claims
$3,706
Drug Cost
72
Beneficiaries
$51
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
+187%
Opioid rate vs peers
15.4% vs 5.3% avg
-61%
Cost per patient vs peers
$51 vs $132 avg
🔎 Data Overview
Prescribes only 4 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
15.4%
Opioid Rate
22
Opioid Claims
$93
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 138 claims · $3,497
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ipratropium Bromide | 15 | $794 |
| Fluticasone Propionate | 18 | $548 |
| Famotidine | 24 | $282 |
| Oxycodone Hcl | 15 | $61 |
Prescribing Profile
4
Unique Drugs
6.0
Anomaly Score
Patient Profile
75
Avg Age
53%
Female
1.16
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