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
915
Total Claims
$198K
Drug Cost
44
Beneficiaries
$4,502
Cost/Patient
Risk Score Breakdown 51/100
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
Brand: 95 claims · $76K
Generic: 820 claims · $122K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxymorphone Hcl | 121 | $90K |
| Oxycodone Hcl | 52 | $46K |
| Oxycodone Myristate | 41 | $30K |
| Oxycodone Hcl | 355 | $16K |
| Buprenorphine Hcl/Naloxone Hcl | 38 | $6,696 |
| Oxycodone Hcl/Acetaminophen | 87 | $3,717 |
| Gabapentin | 60 | $1,473 |
| Hydrocodone/Acetaminophen | 22 | $1,302 |
| Oxymorphone Hcl | 11 | $1,239 |
| Cyclobenzaprine Hcl | 44 | $491 |
| Diclofenac Sodium | 11 | $339 |
| Tizanidine Hcl | 15 | $271 |
| Morphine Sulfate | 12 | $268 |
| Carisoprodol | 16 | $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