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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
High antipsychotic prescribing (65+)High fills per patient
Risk indicators are statistical patterns, not allegations. Learn more
12,109
Total Claims
$125K
Drug Cost
516
Beneficiaries
$242
Cost/Patient
Risk Score Breakdown 15/100
Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3
Score components are additive. Read full methodology
Peer Comparison vs. 21,141 Psychiatry providers
-86%
Cost per patient vs peers
$242 vs $1,696 avg
Brand vs Generic
99% generic
Brand: 82 claims · $4,499
Generic: 12,027 claims · $120K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Mirtazapine | 603 | $11K |
| Bupropion Hcl | 617 | $10K |
| Trazodone Hcl | 1,262 | $9,022 |
| Clonazepam | 1,653 | $8,139 |
| Aripiprazole | 319 | $7,660 |
| Paroxetine Hcl | 91 | $7,317 |
| Buspirone Hcl | 1,188 | $6,062 |
| Sertraline Hcl | 1,073 | $5,851 |
| Fluoxetine Hcl | 653 | $5,532 |
| Bupropion Hcl | 365 | $5,400 |
| Risperidone | 718 | $4,309 |
| Duloxetine Hcl | 349 | $4,279 |
| Estazolam | 117 | $4,132 |
| Temazepam | 510 | $3,561 |
| Doxepin Hcl | 103 | $3,191 |
Prescribing Profile
32
Unique Drugs
15.0
Anomaly Score
Patient Profile
66
Avg Age
55%
Female
1.92
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