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 →205
Total Claims
$4,458
Drug Cost
164
Beneficiaries
$27
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+159%
Opioid rate vs peers
24.4% vs 9.4% avg
🔎 Data Overview
Prescribes only 6 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
24.4%
Opioid Rate
50
Opioid Claims
$225
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 24.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 181 claims · $1,659
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cephalexin | 21 | $780 |
| Amoxicillin/Potassium Clav | 16 | $206 |
| Oxycodone Hcl/Acetaminophen | 31 | $132 |
| Hydrocodone/Acetaminophen | 17 | $87 |
| Ondansetron | 11 | $51 |
| Prednisone | 13 | $23 |
Prescribing Profile
6
Unique Drugs
3.0
Anomaly Score
Patient Profile
76
Avg Age
59%
Female
1.48
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