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
436
Total Claims
$1,506
Drug Cost
161
Beneficiaries
$9
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 500 Oral & Maxillofacial Surgery providers
+24%
Opioid rate vs peers
26.4% vs 21.3% avg
🔎 Data Overview
Prescribes only 4 unique drugs with a 26.4% 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
26.4%
Opioid Rate
115
Opioid Claims
$241
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 26.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 435 claims · $1,503
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Chlorhexidine Gluconate | 132 | $582 |
| Amoxicillin | 108 | $252 |
| Hydrocodone/Acetaminophen | 104 | $214 |
| Ibuprofen | 58 | $109 |
Prescribing Profile
4
Unique Drugs
6.0
Anomaly Score
Patient Profile
73
Avg Age
58%
Female
0.88
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