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
59
Total Claims
$1,490
Drug Cost
30
Beneficiaries
$50
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 771 Thoracic Surgery providers
+477%
Opioid rate vs peers
89.8% vs 15.6% avg
-73%
Cost per patient vs peers
$50 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 477% 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
89.8%
Opioid Rate
53
Opioid Claims
$1,424
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 89.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 59 claims · $1,490
Patient Profile
72
Avg Age
50%
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