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
225
Total Claims
$8,515
Drug Cost
188
Beneficiaries
$45
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
+1361%
Opioid rate vs peers
78.2% vs 5.3% avg
-66%
Cost per patient vs peers
$45 vs $132 avg
+127%
Brand preference vs peers
7.6% vs 3.3% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
78.2%
Opioid Rate
176
Opioid Claims
$1,030
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 78.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 17 claims · $6,853
Generic: 208 claims · $1,662
Patient Profile
73
Avg Age
61%
Female
0.99
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