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
188
Total Claims
$3,088
Drug Cost
145
Beneficiaries
$21
Cost/Patient
Risk Score Breakdown 27/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,716 Vascular Surgery providers
+610%
Opioid rate vs peers
80.9% vs 11.4% avg
-95%
Cost per patient vs peers
$21 vs $430 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 610% above the average for Vascular Surgery providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
80.9%
Opioid Rate
152
Opioid Claims
$309
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 80.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 184 claims · $559
Patient Profile
72
Avg Age
47%
Female
6.36
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