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
214
Total Claims
$15K
Drug Cost
52
Beneficiaries
$279
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+351%
Opioid rate vs peers
42.5% vs 9.4% avg
+278%
Brand preference vs peers
5.6% 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 351% 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
42.5%
Opioid Rate
91
Opioid Claims
$10K
Opioid Cost
49.5%
Long-Acting Rate
This provider's opioid prescribing rate of 42.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $7,793
Generic: 202 claims · $6,721
Patient Profile
63
Avg Age
67%
Female
2.31
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