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
56
Total Claims
$386
Drug Cost
44
Beneficiaries
$9
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 771 Thoracic Surgery providers
+382%
Opioid rate vs peers
75.0% vs 15.6% avg
-95%
Cost per patient vs peers
$9 vs $185 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 382% above Thoracic Surgery 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
75.0%
Opioid Rate
42
Opioid Claims
$120
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: 55 claims · $288
Patient Profile
66
Avg Age
52%
Female
4.26
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