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
699
Total Claims
$38K
Drug Cost
273
Beneficiaries
$139
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
-57%
Opioid rate vs peers
2.3% vs 5.3% avg
+6%
Cost per patient vs peers
$139 vs $132 avg
+77%
Brand preference vs peers
5.9% vs 3.3% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
2.3%
Opioid Rate
16
Opioid Claims
$76
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 40 claims · $16K
Generic: 639 claims · $21K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ciprofloxacin Hcl/Dexameth | 22 | $3,487 |
| Betamethasone Dipropionate | 62 | $3,129 |
| Fluticasone Propionate | 113 | $2,715 |
| Azelastine/Fluticasone | 11 | $2,103 |
| Ofloxacin | 19 | $1,291 |
| Ipratropium Bromide | 18 | $1,071 |
| Famotidine | 45 | $943 |
| Omeprazole | 48 | $935 |
| Nortriptyline Hcl | 39 | $670 |
| Triamterene/Hydrochlorothiazid | 47 | $608 |
| Syringe-Needle,insulin,0.5 Ml | 14 | $560 |
| Pantoprazole Sodium | 12 | $282 |
| Gabapentin | 17 | $178 |
| Clindamycin Hcl | 11 | $109 |
| Cephalexin | 16 | $67 |
Prescribing Profile
18
Unique Drugs
8.0
Anomaly Score
Patient Profile
73
Avg Age
66%
Female
1.11
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