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
205
Total Claims
$12K
Drug Cost
60
Beneficiaries
$198
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+666%
Opioid rate vs peers
72.2% vs 9.4% avg
+360%
Brand preference vs peers
6.8% vs 1.5% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 666% above the average for Emergency Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
72.2%
Opioid Rate
148
Opioid Claims
$10K
Opioid Cost
29.7%
Long-Acting Rate
This provider's opioid prescribing rate of 72.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $3,796
Generic: 191 claims · $8,064
Patient Profile
66
Avg Age
55%
Female
2.86
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