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
212
Total Claims
$1,589
Drug Cost
160
Beneficiaries
$10
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,241 Hand Surgery providers
+74%
Opioid rate vs peers
80.7% vs 46.5% avg
🔎 Data Overview
Prescribes only 2 unique drugs with a 80.7% 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
80.7%
Opioid Rate
171
Opioid Claims
$514
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 80.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 208 claims · $991
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 147 | $437 |
| Hydrocodone/Acetaminophen | 16 | $62 |
Prescribing Profile
2
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
68%
Female
1.49
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