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
10,358
Total Claims
$623K
Drug Cost
1,785
Beneficiaries
$349
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+688%
Opioid rate vs peers
74.2% vs 9.4% avg
+219%
Brand preference vs peers
4.7% 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 688% 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 55/100 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
74.2%
Opioid Rate
7,690
Opioid Claims
$443K
Opioid Cost
12.0%
Long-Acting Rate
This provider's opioid prescribing rate of 74.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 490 claims · $289K
Generic: 9,868 claims · $334K
Patient Profile
64
Avg Age
62%
Female
1.77
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