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
215
Total Claims
$106K
Drug Cost
56
Beneficiaries
$1,901
Cost/Patient
Risk Score Breakdown 8/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+35%
Cost per patient vs peers
$1,901 vs $1,411 avg
+841%
Brand preference vs peers
100.0% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Brand vs Generic
Brand: 132 claims · $103K
Generic: 0 claims · $0
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Fluticasone/Umeclidin/Vilanter | 25 | $19K |
| Umeclidinium Brm/Vilanterol Tr | 19 | $14K |
| Umeclidinium Bromide | 14 | $7,721 |
| Albuterol Sulfate | 30 | $1,404 |
| Montelukast Sodium | 31 | $412 |
| Prednisone | 12 | $118 |
Prescribing Profile
6
Unique Drugs
8.0
Anomaly Score
Patient Profile
72
Avg Age
55%
Female
1.67
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