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
92
Total Claims
$518K
Drug Cost
62
Beneficiaries
$8,349
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,716 Vascular Surgery providers
+435%
Opioid rate vs peers
60.9% vs 11.4% avg
+1842%
Cost per patient vs peers
$8,349 vs $430 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 435% above Vascular Surgery peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 1842% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
60.9%
Opioid Rate
56
Opioid Claims
$160
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 60.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $517K
Generic: 78 claims · $388
Patient Profile
74
Avg Age
44%
Female
1.22
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About