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
52
Total Claims
$292
Drug Cost
46
Beneficiaries
$6
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 771 Thoracic Surgery providers
+456%
Opioid rate vs peers
86.5% vs 15.6% avg
-97%
Cost per patient vs peers
$6 vs $185 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 456% above Thoracic Surgery peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
86.5%
Opioid Rate
45
Opioid Claims
$196
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 86.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 49 claims · $265
Patient Profile
69
Avg Age
28%
Female
1.65
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