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
2,511
Total Claims
$20K
Drug Cost
1,094
Beneficiaries
$18
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,195 Dermatology providers
+5094%
Opioid rate vs peers
33.1% vs 0.6% avg
-98%
Cost per patient vs peers
$18 vs $1,209 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 5,094% above the average for Dermatology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Prescribes only 9 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
33.1%
Opioid Rate
831
Opioid Claims
$2,651
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 33.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,510 claims · $20K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Doxycycline Monohydrate | 1,212 | $12K |
| Hydrocodone/Acetaminophen | 829 | $2,649 |
| Mupirocin | 214 | $2,140 |
| Gentamicin Sulfate | 24 | $1,079 |
| Cephalexin | 107 | $498 |
| Doxycycline Hyclate | 37 | $347 |
| Triamcinolone Acetonide | 16 | $152 |
| Azithromycin | 12 | $71 |
| Sulfamethoxazole/Trimethoprim | 11 | $60 |
Prescribing Profile
9
Unique Drugs
35.0
Anomaly Score
Patient Profile
76
Avg Age
42%
Female
1.22
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