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
70
Total Claims
$243K
Drug Cost
31
Beneficiaries
$7,843
Cost/Patient
Risk Score Breakdown 3/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,807 Optometry providers
+1184%
Cost per patient vs peers
$7,843 vs $611 avg
+53%
Brand preference vs peers
61.4% vs 40.0% avg
🔎 Data Overview
Cost per patient is 1184% 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.
Brand vs Generic
Brand: 43 claims · $241K
Generic: 27 claims · $2,064
Patient Profile
72
Avg Age
—
Female
0.95
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