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
4,262
Total Claims
$386K
Drug Cost
481
Beneficiaries
$802
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+622%
Opioid rate vs peers
68.0% vs 9.4% avg
+306%
Brand preference vs peers
6.0% vs 1.5% 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 622% above the average for Emergency Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Composite risk score of 50/100 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
68.0%
Opioid Rate
2,897
Opioid Claims
$314K
Opioid Cost
29.7%
Long-Acting Rate
This provider's opioid prescribing rate of 68.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 257 claims · $174K
Generic: 4,005 claims · $212K
Patient Profile
70
Avg Age
63%
Female
1.48
Avg Risk Score
Explore More
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