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
2,523
Total Claims
$257K
Drug Cost
183
Beneficiaries
$1,407
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
+885%
Opioid rate vs peers
52.8% vs 5.3% avg
+968%
Cost per patient vs peers
$1,407 vs $132 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.8%
Opioid Rate
1,331
Opioid Claims
$218K
Opioid Cost
39.0%
Long-Acting Rate
This provider's opioid prescribing rate of 52.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,218 claims · $85K
Patient Profile
64
Avg Age
55%
Female
2.62
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