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
53
Total Claims
$207
Drug Cost
50
Beneficiaries
$4
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 771 Thoracic Surgery providers
+530%
Opioid rate vs peers
98.1% vs 15.6% avg
-98%
Cost per patient vs peers
$4 vs $185 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 530% above the average for Thoracic Surgery 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
98.1%
Opioid Rate
52
Opioid Claims
$189
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 98.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 53 claims · $207
Patient Profile
74
Avg Age
52%
Female
1.30
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