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
11,636
Total Claims
$622K
Drug Cost
585
Beneficiaries
$1,063
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+626%
Opioid rate vs peers
68.4% vs 9.4% avg
+216%
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 626% 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 59/100 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
68.4%
Opioid Rate
7,960
Opioid Claims
$490K
Opioid Cost
19.3%
Long-Acting Rate
This provider's opioid prescribing rate of 68.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 545 claims · $307K
Generic: 11,091 claims · $315K
Patient Profile
65
Avg Age
58%
Female
1.40
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