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
76
Total Claims
$665
Drug Cost
62
Beneficiaries
$11
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 380 Cardiac Surgery providers
+580%
Opioid rate vs peers
75.0% vs 11.0% avg
-97%
Cost per patient vs peers
$11 vs $312 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 580% above the average for Cardiac 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
75.0%
Opioid Rate
57
Opioid Claims
$352
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 75.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 74 claims · $451
Patient Profile
70
Avg Age
44%
Female
1.39
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