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
22,958
Total Claims
$1.4M
Drug Cost
929
Beneficiaries
$1,531
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
-31%
Opioid rate vs peers
20.8% vs 30.2% avg
+506%
Cost per patient vs peers
$1,531 vs $253 avg
+83%
Brand preference vs peers
9.1% vs 5.0% avg
🔎 Data Overview
Cost per patient is 506% 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
20.8%
Opioid Rate
4,775
Opioid Claims
$238K
Opioid Cost
13.3%
Long-Acting Rate
This provider's opioid prescribing rate of 20.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 2,094 claims · $900K
Generic: 20,829 claims · $521K
Patient Profile
68
Avg Age
57%
Female
1.57
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