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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
275
Total Claims
$2,028
Drug Cost
113
Beneficiaries
$18
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+213%
Opioid rate vs peers
97.1% vs 31.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 213% above Orthopedic 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
97.1%
Opioid Rate
267
Opioid Claims
$1,630
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 97.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 274 claims · $1,746
Patient Profile
71
Avg Age
62%
Female
0.93
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