CMS Data · Opioid prescribing

Which doctors prescribe opioids the hardest?

The records show how heavily opioids get prescribed, both by area and right down to the individual doctor, along with the kind of medicine each doctor practices. On its own, a high number floats without any context. Lined up against the doctor's field and their area, it answers the question that drives real oversight: where does opioid prescribing concentrate, who stands out even among their own peers, and which way is the trend heading?

By kind of doctorBy areaStands-out doctorsAnswer in seconds
Oshri Cohen, CMS healthcare data made useful
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The problem

A number means nothing without its peer group.

How much opioid prescribing happens is reported at two levels, a wide view by state and county, and a close-up view down to the individual doctor. What it's missing on its own is the comparison that gives it meaning. A high number at a pain-management practice and a high number at a family-medicine office are not the same finding, and you can't tell them apart until the number is sitting next to the kind of medicine that doctor practices.

Put it together with each doctor's field and their area, and the number finally makes sense. You can work out what's typical for a given field, then flag the doctors who sit far above their own peers rather than above some all-doctors average, which is the only fair way to spot someone who stands out. You can rank fields, rank areas, and follow the trend over time to see whether the long, well-known decline in opioid prescribing is real everywhere or uneven across fields and places.

What it answers

Questions you can finally ask.

Each is a question you simply ask and get an answer to, not a three-week analysis project.

Which kinds of doctors prescribe the most?

Rank fields of medicine by their typical opioid prescribing, to separate where high numbers are expected from where they aren't.

Who stands out within their own field?

Flag the doctors sitting far above their own peers rather than above some all-doctors average, the only fair way to spot a real outlier.

Where does prescribing concentrate?

Map opioid prescribing by state and county to surface the areas running consistently high across many doctors.

Is it falling everywhere?

Follow the trend over time by field and area to see whether the national decline is happening evenly or unevenly.

Does the field or the place matter more?

Compare how much of the difference tracks the doctor's field versus where they practice, separating habit from local pattern.

Which areas run hot for their field?

Find places where a kind of doctor prescribes far above their peers elsewhere, pointing at a local cause rather than the field itself.

What goes into it

What the answer pulls together.

Prescribing by area

How heavily opioids are prescribed by state and county, the wide view used to map where it concentrates.

Prescribing by doctor

How heavily opioids are prescribed right down to the individual doctor, the detail needed to spot who stands out.

What kind of doctor

The field of medicine attached to each doctor, the context that turns a raw number into a fair peer-to-peer comparison.

A high opioid number isn't a red flag until you know the doctor's field. Held up against the right peers it's a signal, against the wrong ones it's just noise.

Oshri Cohen · On CMS data
Common questions

What people ask about this.

Doesn't a high number just mean the doctor treats pain?

Often, yes, which is exactly why matching each doctor to their field matters. Comparing a doctor against their own field rather than against all doctors separates the ones whose patients explain the number from the ones sitting far above peers who treat the very same conditions. The point is who stands out among their peers, not the raw number.

Can it show the trend, not just a single year?

Yes. Because the prescribing is reported across many periods, you can follow it over time by field and area. That shows whether the well-known national decline is happening evenly or whether some fields and places are lagging behind. The trend often tells you more than any single year.

How current is the answer?

It stays current on its own. When new information is published, it's already in there, so you're asking against today's picture, not a year-old extract.

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for your field?

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