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
1,663
Total Claims
$127K
Drug Cost
519
Beneficiaries
$245
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+409%
Opioid rate vs peers
47.9% vs 9.4% avg
+326%
Brand preference vs peers
6.3% 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 rate is 409% above Emergency 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
47.9%
Opioid Rate
797
Opioid Claims
$87K
Opioid Cost
24.6%
Long-Acting Rate
This provider's opioid prescribing rate of 47.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 105 claims · $75K
Generic: 1,558 claims · $52K
Patient Profile
66
Avg Age
62%
Female
1.78
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