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
119
Total Claims
$16K
Drug Cost
62
Beneficiaries
$254
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,716 Vascular Surgery providers
+181%
Opioid rate vs peers
31.9% vs 11.4% avg
-41%
Cost per patient vs peers
$254 vs $430 avg
+10%
Brand preference vs peers
16.8% vs 15.2% avg
🔎 Data Overview
Prescribes only 4 unique drugs with a 31.9% 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
31.9%
Opioid Rate
38
Opioid Claims
$218
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 31.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $15K
Generic: 99 claims · $1,225
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 16 | $14K |
| Clopidogrel Bisulfate | 12 | $278 |
| Hydrocodone/Acetaminophen | 17 | $137 |
| Atorvastatin Calcium | 12 | $98 |
Prescribing Profile
Patient Profile
71
Avg Age
57%
Female
4.71
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