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
203
Total Claims
$3,725
Drug Cost
133
Beneficiaries
$28
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+62%
Opioid rate vs peers
15.3% vs 9.4% avg
🔎 Data Overview
Prescribes only 5 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
15.3%
Opioid Rate
31
Opioid Claims
$133
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 189 claims · $2,745
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cefdinir | 12 | $329 |
| Cephalexin | 25 | $198 |
| Ondansetron Hcl | 21 | $145 |
| Hydrocodone/Acetaminophen | 16 | $86 |
| Ibuprofen | 11 | $40 |
Prescribing Profile
5
Unique Drugs
6.0
Anomaly Score
Patient Profile
69
Avg Age
60%
Female
1.86
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