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
144
Total Claims
$4,973
Drug Cost
77
Beneficiaries
$65
Cost/Patient
Risk Score Breakdown 16/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,314 Podiatry providers
+315%
Opioid rate vs peers
28.5% vs 6.9% avg
-49%
Cost per patient vs peers
$65 vs $128 avg
🔎 Data Overview
Opioid rate is 315% above Podiatry peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 5 unique drugs with a 28.5% 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
28.5%
Opioid Rate
41
Opioid Claims
$319
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 28.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 140 claims · $1,890
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Clotrimazole | 18 | $792 |
| Amoxicillin/Potassium Clav | 20 | $233 |
| Hydrocodone/Acetaminophen | 22 | $214 |
| Gabapentin | 19 | $126 |
| Oxycodone Hcl/Acetaminophen | 15 | $96 |
Prescribing Profile
5
Unique Drugs
16.0
Anomaly Score
Patient Profile
71
Avg Age
51%
Female
1.66
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