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
79
Total Claims
$321
Drug Cost
67
Beneficiaries
$5
Cost/Patient
Risk Score Breakdown 25/100
Score components are additive. Read full methodology
Peer Comparison vs. 526 Surgical Oncology providers
+207%
Opioid rate vs peers
88.6% vs 28.9% avg
-99%
Cost per patient vs peers
$5 vs $690 avg
🔎 Data Overview
Opioid rate is 207% above Surgical Oncology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 2 unique drugs with a 88.6% 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
88.6%
Opioid Rate
70
Opioid Claims
$278
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 88.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 79 claims · $321
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 56 | $245 |
| Tramadol Hcl | 13 | $28 |
Prescribing Profile
2
Unique Drugs
25.0
Anomaly Score
Patient Profile
71
Avg Age
100%
Female
0.98
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