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
183
Total Claims
$3,397
Drug Cost
57
Beneficiaries
$60
Cost/Patient
Risk Score Breakdown 27/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,414 Sports Medicine providers
+455%
Opioid rate vs peers
84.2% vs 15.2% avg
-49%
Cost per patient vs peers
$60 vs $116 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 455% above Sports Medicine 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
84.2%
Opioid Rate
154
Opioid Claims
$3,232
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 84.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 181 claims · $3,384
Patient Profile
71
Avg Age
75%
Female
0.89
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