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
384
Total Claims
$3,648
Drug Cost
213
Beneficiaries
$17
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,619 Orthopedic Surgery providers
+126%
Opioid rate vs peers
70.1% vs 31.0% 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
70.1%
Opioid Rate
269
Opioid Claims
$2,477
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 70.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 380 claims · $3,576
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 141 | $1,775 |
| Oxycodone Hcl/Acetaminophen | 34 | $408 |
| Tramadol Hcl | 92 | $290 |
| Meloxicam | 32 | $140 |
| Methylprednisolone | 16 | $129 |
| Famotidine | 11 | $43 |
Prescribing Profile
6
Unique Drugs
18.0
Anomaly Score
Patient Profile
70
Avg Age
62%
Female
1.14
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