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
237
Total Claims
$2,806
Drug Cost
148
Beneficiaries
$19
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+152%
Opioid rate vs peers
78.1% vs 31.0% avg
🔎 Data Overview
Prescribes only 4 unique drugs with a 78.1% 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
78.1%
Opioid Rate
185
Opioid Claims
$1,688
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 78.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 235 claims · $2,636
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 144 | $1,220 |
| Cephalexin | 11 | $517 |
| Hydrocodone/Acetaminophen | 21 | $193 |
| Ondansetron Hcl | 11 | $135 |
Prescribing Profile
4
Unique Drugs
31.0
Anomaly Score
Patient Profile
72
Avg Age
53%
Female
0.95
Avg Risk Score
Explore More
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