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
120
Total Claims
$1,278
Drug Cost
81
Beneficiaries
$16
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
+959%
Opioid rate vs peers
56.7% vs 5.3% avg
-88%
Cost per patient vs peers
$16 vs $132 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.7%
Opioid Rate
68
Opioid Claims
$151
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 115 claims · $699
Patient Profile
73
Avg Age
47%
Female
1.40
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