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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
26,048
Total Claims
$2.0M
Drug Cost
1,116
Beneficiaries
$1,760
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. 106,889 Family Practice providers
+65%
Cost per patient vs peers
$1,760 vs $1,068 avg
+27%
Brand preference vs peers
11.5% vs 9.0% avg
Brand vs Generic
89% generic
Brand: 2,967 claims · $1.6M
Generic: 22,911 claims · $368K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 260 | $292K |
| Apixaban | 157 | $136K |
| Insulin Glargine,hum.Rec.Anlog | 145 | $100K |
| Dulaglutide | 76 | $86K |
| Empagliflozin | 96 | $75K |
| Linaclotide | 103 | $65K |
| Fluticasone/Umeclidin/Vilanter | 72 | $62K |
| Tirzepatide | 48 | $53K |
| Mirabegron | 70 | $46K |
| Insulin Glargine,hum.Rec.Anlog | 95 | $44K |
| Rivaroxaban | 49 | $42K |
| Paliperidone Palmitate | 11 | $25K |
| Cariprazine Hcl | 17 | $25K |
| Budesonide/Formoterol Fumarate | 41 | $24K |
| Lipase/Protease/Amylase | 13 | $21K |
Prescribing Profile
Patient Profile
65
Avg Age
61%
Female
1.28
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