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
89
Total Claims
$1,069
Drug Cost
73
Beneficiaries
$15
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-99%
Cost per patient vs peers
$15 vs $1,956 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
75.3%
Opioid Rate
67
Opioid Claims
$109
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 75.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 88 claims · $306
Patient Profile
72
Avg Age
40%
Female
0.98
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