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 →369
Total Claims
$4,358
Drug Cost
130
Beneficiaries
$34
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
-14%
Opioid rate vs peers
26.6% vs 31.0% avg
🔎 Data Overview
Prescribes only 8 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
26.6%
Opioid Rate
98
Opioid Claims
$821
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 26.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $702
Generic: 358 claims · $3,656
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Enoxaparin Sodium | 14 | $1,075 |
| Diclofenac Sodium | 29 | $723 |
| Oxycodone Hcl | 78 | $679 |
| Meloxicam | 61 | $399 |
| Amoxicillin | 58 | $335 |
| Celecoxib | 29 | $300 |
| Gabapentin | 37 | $257 |
| Tramadol Hcl | 14 | $90 |
Prescribing Profile
8
Unique Drugs
3.0
Anomaly Score
Patient Profile
73
Avg Age
69%
Female
0.92
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