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
8,577
Total Claims
$4.1M
Drug Cost
1,048
Beneficiaries
$3,870
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
+806%
Cost per patient vs peers
$3,870 vs $427 avg
+1808%
Brand preference vs peers
100.0% vs 5.2% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 806% 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: 6,131 claims · $3.9M
Generic: 0 claims · $0
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Fluticasone/Umeclidin/Vilanter | 1,206 | $963K |
| Umeclidinium Brm/Vilanterol Tr | 910 | $513K |
| Alpha-1-Proteinase Inhibitor | 31 | $398K |
| Nintedanib Esylate | 18 | $339K |
| Budesonide/Formoterol Fumarate | 414 | $210K |
| Fluticasone/Vilanterol | 359 | $171K |
| Ipratropium/Albuterol Sulfate | 282 | $150K |
| Alpha-1-Proteinase Inhibitor | 13 | $150K |
| Umeclidinium Bromide | 331 | $135K |
| Fluticasone Propion/Salmeterol | 270 | $132K |
| Fluticasone Propion/Salmeterol | 215 | $111K |
| Tiotropium Bromide | 152 | $97K |
| Mepolizumab | 24 | $93K |
| Tiotropium Bromide | 74 | $72K |
| Tiotropium Br/Olodaterol Hcl | 72 | $51K |
Prescribing Profile
31
Unique Drugs
9.0
Anomaly Score
Patient Profile
71
Avg Age
62%
Female
1.76
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