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
128
Total Claims
$350
Drug Cost
94
Beneficiaries
$4
Cost/Patient
Risk Score Breakdown 27/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,397 Colorectal Surgery (Proctology) providers
+429%
Opioid rate vs peers
76.6% vs 14.5% avg
-99%
Cost per patient vs peers
$4 vs $275 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 429% above Colorectal Surgery (Proctology) 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
76.6%
Opioid Rate
98
Opioid Claims
$178
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 76.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 127 claims · $338
Patient Profile
72
Avg Age
—
Female
1.42
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