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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
57
Total Claims
$1,915
Drug Cost
49
Beneficiaries
$39
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,397 Colorectal Surgery (Proctology) providers
+446%
Opioid rate vs peers
78.9% vs 14.5% avg
-86%
Cost per patient vs peers
$39 vs $275 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 446% above Colorectal Surgery (Proctology) 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
78.9%
Opioid Rate
45
Opioid Claims
$286
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 78.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 56 claims · $1,713
Patient Profile
69
Avg Age
49%
Female
1.61
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