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
99
Total Claims
$1,987
Drug Cost
83
Beneficiaries
$24
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 380 Cardiac Surgery providers
+679%
Opioid rate vs peers
85.9% vs 11.0% avg
-92%
Cost per patient vs peers
$24 vs $312 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 679% above the average for Cardiac Surgery providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
85.9%
Opioid Rate
85
Opioid Claims
$611
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 85.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 97 claims · $741
Patient Profile
70
Avg Age
35%
Female
1.24
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