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
187
Total Claims
$2,600
Drug Cost
127
Beneficiaries
$20
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+144%
Opioid rate vs peers
23.0% vs 9.4% avg
🔎 Data Overview
Prescribes only 5 unique drugs with a 23.0% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
23.0%
Opioid Rate
43
Opioid Claims
$142
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 23.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 180 claims · $1,323
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Ondansetron | 20 | $321 |
| Doxycycline Hyclate | 12 | $263 |
| Cephalexin | 20 | $154 |
| Hydrocodone/Acetaminophen | 35 | $113 |
| Prednisone | 27 | $50 |
Prescribing Profile
5
Unique Drugs
6.0
Anomaly Score
Patient Profile
71
Avg Age
58%
Female
1.53
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 of wrongdoing.Methodology · About · Dispute this data