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
3,902
Total Claims
$362K
Drug Cost
195
Beneficiaries
$1,856
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+512%
Opioid rate vs peers
57.7% vs 9.4% avg
+494%
Brand preference vs peers
8.8% vs 1.5% 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 512% above the average for Emergency Medicine 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
57.7%
Opioid Rate
2,250
Opioid Claims
$217K
Opioid Cost
21.8%
Long-Acting Rate
This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 344 claims · $215K
Generic: 3,558 claims · $147K
Patient Profile
61
Avg Age
62%
Female
1.86
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