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
1,989
Total Claims
$99K
Drug Cost
279
Beneficiaries
$355
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+157%
Opioid rate vs peers
79.5% vs 31.0% avg
Opioid Prescribing
79.5%
Opioid Rate
1,582
Opioid Claims
$73K
Opioid Cost
5.4%
Long-Acting Rate
This provider's opioid prescribing rate of 79.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 57 claims · $55K
Generic: 1,932 claims · $44K
Patient Profile
74
Avg Age
64%
Female
1.87
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