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
139
Total Claims
$558
Drug Cost
112
Beneficiaries
$5
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
+155%
Opioid rate vs peers
77.0% vs 30.2% avg
-98%
Cost per patient vs peers
$5 vs $253 avg
🔎 Data Overview
Prescribes only 2 unique drugs with a 77.0% 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
77.0%
Opioid Rate
107
Opioid Claims
$220
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 77.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 139 claims · $558
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 100 | $209 |
| Cephalexin | 11 | $98 |
Prescribing Profile
2
Unique Drugs
15.0
Anomaly Score
Patient Profile
73
Avg Age
—
Female
0.97
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