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
863
Total Claims
$37K
Drug Cost
152
Beneficiaries
$241
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+409%
Opioid rate vs peers
48.0% vs 9.4% avg
+283%
Brand preference vs peers
5.7% 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 409% 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
48.0%
Opioid Rate
414
Opioid Claims
$22K
Opioid Cost
31.4%
Long-Acting Rate
This provider's opioid prescribing rate of 48.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 49 claims · $16K
Generic: 814 claims · $20K
Patient Profile
65
Avg Age
55%
Female
1.51
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