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
718
Total Claims
$37K
Drug Cost
106
Beneficiaries
$352
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+664%
Opioid rate vs peers
72.0% vs 9.4% avg
+717%
Brand preference vs peers
12.1% 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 664% 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
72.0%
Opioid Rate
517
Opioid Claims
$21K
Opioid Cost
36.2%
Long-Acting Rate
This provider's opioid prescribing rate of 72.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 87 claims · $24K
Generic: 631 claims · $13K
Patient Profile
71
Avg Age
68%
Female
3.15
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