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
231
Total Claims
$3,709
Drug Cost
114
Beneficiaries
$33
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+42%
Opioid rate vs peers
42.9% vs 30.2% avg
-87%
Cost per patient vs peers
$33 vs $253 avg
🔎 Data Overview
Prescribes only 6 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
42.9%
Opioid Rate
99
Opioid Claims
$298
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 42.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 226 claims · $3,024
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Omeprazole | 32 | $492 |
| Ondansetron | 14 | $279 |
| Hydrocodone/Acetaminophen | 49 | $220 |
| Pantoprazole Sodium | 15 | $206 |
| Cyclobenzaprine Hcl | 12 | $89 |
| Tramadol Hcl | 49 | $76 |
Prescribing Profile
6
Unique Drugs
8.0
Anomaly Score
Patient Profile
69
Avg Age
68%
Female
1.27
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