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
12,809
Total Claims
$1.5M
Drug Cost
910
Beneficiaries
$1,629
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+471%
Opioid rate vs peers
53.8% vs 9.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 471% above Emergency Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Composite risk score of 55/100 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
53.8%
Opioid Rate
6,887
Opioid Claims
$1.2M
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 53.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 11,818 claims · $910K
Patient Profile
66
Avg Age
59%
Female
2.02
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