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
5,421
Total Claims
$205K
Drug Cost
1,045
Beneficiaries
$196
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+734%
Opioid rate vs peers
78.6% vs 9.4% avg
+42%
Brand preference vs peers
2.1% 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 734% 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
78.6%
Opioid Rate
4,259
Opioid Claims
$148K
Opioid Cost
3.4%
Long-Acting Rate
This provider's opioid prescribing rate of 78.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 114 claims · $38K
Generic: 5,307 claims · $167K
Patient Profile
62
Avg Age
67%
Female
1.70
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