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
76
Total Claims
$3,863
Drug Cost
23
Beneficiaries
$168
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
+662%
Opioid rate vs peers
40.8% vs 5.3% avg
+27%
Cost per patient vs peers
$168 vs $132 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 662% above the average for Otolaryngology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
40.8%
Opioid Rate
31
Opioid Claims
$1,732
Opioid Cost
87.1%
Long-Acting Rate
This provider's opioid prescribing rate of 40.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 73 claims · $2,134
Patient Profile
71
Avg Age
—
Female
1.34
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