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
21,468
Total Claims
$1.4M
Drug Cost
453
Beneficiaries
$3,154
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
-88%
Opioid rate vs peers
3.6% vs 30.2% avg
+1148%
Cost per patient vs peers
$3,154 vs $253 avg
+117%
Brand preference vs peers
10.8% vs 5.0% avg
🔎 Data Overview
Cost per patient is 1148% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
3.6%
Opioid Rate
774
Opioid Claims
$12K
Opioid Cost
6.7%
Long-Acting Rate
Brand vs Generic
Brand: 2,307 claims · $1.1M
Generic: 19,009 claims · $369K
Patient Profile
73
Avg Age
56%
Female
1.78
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