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
11,754
Total Claims
$733K
Drug Cost
147
Beneficiaries
$4,985
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
-90%
Opioid rate vs peers
3.0% vs 30.2% avg
+1872%
Cost per patient vs peers
$4,985 vs $253 avg
+150%
Brand preference vs peers
12.5% vs 5.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 1872% 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
3.0%
Opioid Rate
358
Opioid Claims
$8,739
Opioid Cost
13.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,452 claims · $530K
Generic: 10,204 claims · $199K
Patient Profile
77
Avg Age
65%
Female
2.45
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