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
479
Total Claims
$14K
Drug Cost
68
Beneficiaries
$212
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+156%
Opioid rate vs peers
79.3% vs 31.0% avg
Opioid Prescribing
79.3%
Opioid Rate
380
Opioid Claims
$13K
Opioid Cost
17.4%
Long-Acting Rate
This provider's opioid prescribing rate of 79.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 34 claims · $7,330
Generic: 445 claims · $7,105
Patient Profile
69
Avg Age
57%
Female
1.29
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