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
2,751
Total Claims
$168K
Drug Cost
252
Beneficiaries
$665
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+618%
Opioid rate vs peers
67.6% vs 9.4% avg
+201%
Brand preference vs peers
4.5% 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 618% 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
67.6%
Opioid Rate
1,860
Opioid Claims
$102K
Opioid Cost
13.9%
Long-Acting Rate
This provider's opioid prescribing rate of 67.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 123 claims · $106K
Generic: 2,628 claims · $61K
Patient Profile
71
Avg Age
65%
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