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
381
Total Claims
$52K
Drug Cost
130
Beneficiaries
$401
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-80%
Cost per patient vs peers
$401 vs $1,956 avg
-2%
Brand preference vs peers
14.2% vs 14.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
15.5%
Opioid Rate
59
Opioid Claims
$1,164
Opioid Cost
22.0%
Long-Acting Rate
Brand vs Generic
Brand: 54 claims · $42K
Generic: 327 claims · $9,689
Patient Profile
68
Avg Age
68%
Female
2.09
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