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
5,299
Total Claims
$839K
Drug Cost
310
Beneficiaries
$2,707
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,186 Anesthesiology providers
+117%
Opioid rate vs peers
75.4% vs 34.8% avg
+541%
Cost per patient vs peers
$2,707 vs $422 avg
+234%
Brand preference vs peers
15.8% vs 4.7% avg
🔎 Data Overview
Cost per patient is 541% 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
75.4%
Opioid Rate
3,993
Opioid Claims
$457K
Opioid Cost
38.5%
Long-Acting Rate
This provider's opioid prescribing rate of 75.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 836 claims · $567K
Generic: 4,463 claims · $272K
Patient Profile
69
Avg Age
66%
Female
1.81
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