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
6,133
Total Claims
$720K
Drug Cost
368
Beneficiaries
$1,956
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,414 Sports Medicine providers
+333%
Opioid rate vs peers
65.6% vs 15.2% avg
+1583%
Cost per patient vs peers
$1,956 vs $116 avg
+749%
Brand preference vs peers
11.4% vs 1.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 333% above Sports Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 1583% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
65.6%
Opioid Rate
4,025
Opioid Claims
$449K
Opioid Cost
32.1%
Long-Acting Rate
This provider's opioid prescribing rate of 65.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 700 claims · $498K
Generic: 5,433 claims · $222K
Patient Profile
68
Avg Age
64%
Female
2.35
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