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
10,799
Total Claims
$956K
Drug Cost
430
Beneficiaries
$2,223
Cost/Patient
Risk Score Breakdown 53/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+456%
Opioid rate vs peers
52.3% vs 9.4% avg
+540%
Brand preference vs peers
9.5% 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 rate is 456% above Emergency Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Composite risk score of 53/100 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
52.3%
Opioid Rate
5,653
Opioid Claims
$502K
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 52.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,025 claims · $671K
Generic: 9,774 claims · $285K
Patient Profile
64
Avg Age
62%
Female
1.64
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