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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
Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Extreme fills per patient
Risk indicators are statistical patterns, not allegations. Learn more
9,708
Total Claims
$1.0M
Drug Cost
213
Beneficiaries
$4,866
Cost/Patient
Risk Score Breakdown 21/100
Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5
Cost per patient outlier+3
Score components are additive. Read full methodology
Peer Comparison vs. 10,307 Psychiatry & Neurology providers
+268%
Cost per patient vs peers
$4,866 vs $1,323 avg
-37%
Brand preference vs peers
3.2% vs 5.0% avg
Brand vs Generic
97% generic
Brand: 307 claims · $430K
Generic: 9,338 claims · $605K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Paliperidone Palmitate | 96 | $231K |
| Paliperidone | 342 | $223K |
| Fluphenazine Hcl | 83 | $63K |
| Risperidone Microspheres | 34 | $59K |
| Brexpiprazole | 22 | $33K |
| Clozapine | 353 | $32K |
| Divalproex Sodium | 249 | $31K |
| Aripiprazole | 133 | $25K |
| Divalproex Sodium | 473 | $23K |
| Haloperidol | 275 | $18K |
| Mirabegron | 32 | $15K |
| Olanzapine | 326 | $14K |
| Clomipramine Hcl | 12 | $12K |
| Benztropine Mesylate | 687 | $11K |
| Quetiapine Fumarate | 307 | $10K |
Prescribing Profile
Patient Profile
52
Avg Age
35%
Female
0.80
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