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 →27
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
119
Total Claims
$660
Drug Cost
94
Beneficiaries
$7
Cost/Patient
Risk Score Breakdown 27/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,293 Plastic and Reconstructive Surgery providers
+215%
Opioid rate vs peers
81.5% vs 25.8% avg
-93%
Cost per patient vs peers
$7 vs $102 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 215% above Plastic and Reconstructive 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
81.5%
Opioid Rate
97
Opioid Claims
$522
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 81.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 119 claims · $660
Patient Profile
74
Avg Age
44%
Female
1.36
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