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
370
Total Claims
$47K
Drug Cost
28
Beneficiaries
$1,664
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+192%
Opioid rate vs peers
88.1% vs 30.2% avg
+558%
Cost per patient vs peers
$1,664 vs $253 avg
+176%
Brand preference vs peers
13.8% vs 5.0% avg
🔎 Data Overview
Cost per patient is 558% 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
88.1%
Opioid Rate
326
Opioid Claims
$46K
Opioid Cost
15.6%
Long-Acting Rate
This provider's opioid prescribing rate of 88.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 51 claims · $31K
Generic: 319 claims · $15K
Patient Profile
69
Avg Age
—
Female
1.67
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