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
21,586
Total Claims
$1.9M
Drug Cost
746
Beneficiaries
$2,503
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,124 General Surgery providers
-80%
Opioid rate vs peers
6.1% vs 30.2% avg
+891%
Cost per patient vs peers
$2,503 vs $253 avg
+150%
Brand preference vs peers
12.5% vs 5.0% avg
🔎 Data Overview
Cost per patient is 891% 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
6.1%
Opioid Rate
1,326
Opioid Claims
$12K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,667 claims · $1.4M
Generic: 18,747 claims · $429K
Patient Profile
76
Avg Age
61%
Female
2.56
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