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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,627
Total Claims
$90K
Drug Cost
358
Beneficiaries
$251
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+190%
Opioid rate vs peers
89.9% vs 31.0% avg
Opioid Prescribing
89.9%
Opioid Rate
2,362
Opioid Claims
$83K
Opioid Cost
5.5%
Long-Acting Rate
This provider's opioid prescribing rate of 89.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 19 claims · $940
Generic: 2,608 claims · $89K
Patient Profile
67
Avg Age
64%
Female
1.62
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