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
41,162
Total Claims
$1.5M
Drug Cost
692
Beneficiaries
$2,208
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 771 Thoracic Surgery providers
-92%
Opioid rate vs peers
1.2% vs 15.6% avg
+1091%
Cost per patient vs peers
$2,208 vs $185 avg
+219%
Brand preference vs peers
11.9% vs 3.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 1091% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
1.2%
Opioid Rate
509
Opioid Claims
$23K
Opioid Cost
15.7%
Long-Acting Rate
Brand vs Generic
Brand: 4,874 claims · $1.0M
Generic: 36,176 claims · $511K
Patient Profile
80
Avg Age
61%
Female
2.55
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