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
54
Total Claims
$451
Drug Cost
39
Beneficiaries
$12
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
+938%
Opioid rate vs peers
55.6% vs 5.3% avg
-91%
Cost per patient vs peers
$12 vs $132 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 938% above the average for Otolaryngology 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
55.6%
Opioid Rate
30
Opioid Claims
$102
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 55.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 53 claims · $430
Patient Profile
69
Avg Age
44%
Female
1.50
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