⚠️

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 →

Donald HornerMD

Obstetrics & Gynecology · Charlotte, NC 28211

NPI: 1083667877

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51

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peers99th percentile opioid prescribingHigh long-acting opioid rate vs peersHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

915

Total Claims

$198K

Drug Cost

44

Beneficiaries

$4,502

Cost/Patient

Risk Score Breakdown 51/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+15
Long-acting opioid rate+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 22,639 Obstetrics & Gynecology providers

+5885%

Opioid rate vs peers

76.7% vs 1.3% avg

+1096%

Cost per patient vs peers

$4,502 vs $376 avg

-14%

Brand preference vs peers

10.4% vs 12.1% 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 5,885% above the average for Obstetrics & Gynecology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

💰

Cost per patient is 1096% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

📊

Composite risk score of 51/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

76.7%

Opioid Rate

702

Opioid Claims

$188K

Opioid Cost

32.2%

Long-Acting Rate

This provider's opioid prescribing rate of 76.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

90% generic

Brand: 95 claims · $76K

Generic: 820 claims · $122K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxymorphone Hcl121$90K
Oxycodone Hcl52$46K
Oxycodone Myristate41$30K
Oxycodone Hcl355$16K
Buprenorphine Hcl/Naloxone Hcl38$6,696
Oxycodone Hcl/Acetaminophen87$3,717
Gabapentin60$1,473
Hydrocodone/Acetaminophen22$1,302
Oxymorphone Hcl11$1,239
Cyclobenzaprine Hcl44$491
Diclofenac Sodium11$339
Tizanidine Hcl15$271
Morphine Sulfate12$268
Carisoprodol16$179

Prescribing Profile

12

Unique Drugs

51.0

Anomaly Score

Patient Profile

63

Avg Age

46%

Female

1.67

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