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 →17
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,623
Total Claims
$930K
Drug Cost
225
Beneficiaries
$4,132
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,680 Certified Clinical Nurse Specialist providers
+145%
Cost per patient vs peers
$4,132 vs $1,684 avg
-32%
Brand preference vs peers
6.4% vs 9.4% avg
Brand vs Generic
Brand: 555 claims · $667K
Generic: 8,068 claims · $263K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Paliperidone Palmitate | 77 | $235K |
| Brexpiprazole | 187 | $215K |
| Cariprazine Hcl | 70 | $51K |
| Aripiprazole | 16 | $42K |
| Aripiprazole | 347 | $38K |
| Paliperidone | 66 | $29K |
| Clozapine | 338 | $28K |
| Chlorpromazine Hcl | 25 | $16K |
| Lurasidone Hcl | 11 | $13K |
| Vortioxetine Hydrobromide | 17 | $11K |
| Venlafaxine Hcl | 302 | $8,248 |
| Quetiapine Fumarate | 597 | $8,136 |
| Aripiprazole | 27 | $7,825 |
| Lurasidone Hcl | 26 | $7,185 |
| Olanzapine | 267 | $6,666 |
Prescribing Profile
56
Unique Drugs
17.0
Anomaly Score
Patient Profile
57
Avg Age
60%
Female
1.29
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