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
22,106
Total Claims
$1.3M
Drug Cost
301
Beneficiaries
$4,474
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-97%
Opioid rate vs peers
0.1% vs 3.0% avg
+947%
Cost per patient vs peers
$4,474 vs $427 avg
+206%
Brand preference vs peers
16.0% 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 947% 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.
Opioid Prescribing
0.1%
Opioid Rate
19
Opioid Claims
$1,769
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,539 claims · $967K
Generic: 18,535 claims · $378K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 931 | $210K |
| Glatiramer Acetate | 13 | $80K |
| Dulaglutide | 59 | $52K |
| Rivaroxaban | 221 | $48K |
| Rifaximin | 40 | $45K |
| Fluticasone/Umeclidin/Vilanter | 57 | $35K |
| Sacubitril/Valsartan | 132 | $32K |
| Dextromethorphan Hbr/Quinidine | 57 | $31K |
| Dapagliflozin Propanediol | 105 | $27K |
| Sitagliptin Phosphate | 56 | $23K |
| Linaclotide | 41 | $23K |
| Mirabegron | 112 | $21K |
| Budesonide/Formoterol Fumarate | 44 | $21K |
| Umeclidinium Brm/Vilanterol Tr | 78 | $19K |
| Cyclosporine | 40 | $18K |
Prescribing Profile
Patient Profile
80
Avg Age
66%
Female
2.51
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