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
20,826
Total Claims
$5.0M
Drug Cost
16,051
Beneficiaries
$310
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,414 Sports Medicine providers
-99%
Opioid rate vs peers
0.1% vs 15.2% avg
+167%
Cost per patient vs peers
$310 vs $116 avg
+7004%
Brand preference vs peers
95.6% vs 1.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
0.1%
Opioid Rate
20
Opioid Claims
$78
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 19,634 claims · $4.9M
Generic: 913 claims · $51K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rsvpref3 Antigen/As01e/Pf | 7,914 | $2.5M |
| Varicella-Zoster Ge/As01b/Pf | 9,324 | $2.0M |
| Rsv Vacc, Pref A And Pref B/Pf | 478 | $159K |
| Diphth,pertuss(Acell),tet Vac | 1,628 | $113K |
| Naloxone Hcl | 641 | $46K |
| Hepatitis A And B Vaccine/Pf | 151 | $23K |
| Hepatitis A Virus Vaccine/Pf | 53 | $5,540 |
| Pen Needle, Diabetic | 51 | $2,412 |
| Diph,pertuss(Acell),tet Vac/Pf | 21 | $1,470 |
| Tetanus-Diphtheria Toxoids/Pf | 20 | $1,242 |
| Pen Needle, Diabetic | 20 | $998 |
| Ibandronate Sodium | 19 | $903 |
| Pen Needle, Diabetic | 14 | $657 |
| Levocetirizine Dihydrochloride | 27 | $618 |
| Alendronate Sodium | 56 | $614 |
Prescribing Profile
19
Unique Drugs
9.0
Anomaly Score
Patient Profile
72
Avg Age
58%
Female
1.02
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