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
341
Total Claims
$23K
Drug Cost
122
Beneficiaries
$191
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+448%
Opioid rate vs peers
51.6% vs 9.4% avg
+710%
Brand preference vs peers
12.0% 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 rate is 448% above Emergency Medicine 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
51.6%
Opioid Rate
176
Opioid Claims
$18K
Opioid Cost
35.2%
Long-Acting Rate
This provider's opioid prescribing rate of 51.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 41 claims · $11K
Generic: 300 claims · $12K
Patient Profile
62
Avg Age
66%
Female
3.91
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About