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
311
Total Claims
$219K
Drug Cost
112
Beneficiaries
$1,958
Cost/Patient
Risk Score Breakdown 18/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
0%
Cost per patient vs peers
$1,958 vs $1,956 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
4.5%
Opioid Rate
14
Opioid Claims
$59
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 229 claims · $9,202
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Lipase/Protease/Amylase | 53 | $156K |
| Lipase/Protease/Amylase | 12 | $38K |
| Sucralfate | 31 | $2,936 |
| Omeprazole | 65 | $1,838 |
| Peg3350/Sod Sulf,bicarb,cl/Kcl | 21 | $390 |
| Ciprofloxacin Hcl | 29 | $99 |
| Oxycodone Hcl | 12 | $46 |
Prescribing Profile
6
Unique Drugs
18.0
Anomaly Score
Patient Profile
71
Avg Age
46%
Female
1.96
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.Methodology · About