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
10,049
Total Claims
$490K
Drug Cost
467
Beneficiaries
$1,048
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-36%
Opioid rate vs peers
1.9% vs 3.0% avg
+145%
Cost per patient vs peers
$1,048 vs $427 avg
+115%
Brand preference vs peers
11.3% vs 5.2% avg
Opioid Prescribing
1.9%
Opioid Rate
192
Opioid Claims
$3,620
Opioid Cost
8.9%
Long-Acting Rate
Brand vs Generic
Brand: 1,129 claims · $316K
Generic: 8,900 claims · $173K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 324 | $99K |
| Empagliflozin | 81 | $28K |
| Rivaroxaban | 58 | $15K |
| Dulaglutide | 13 | $12K |
| Fluticasone Propion/Salmeterol | 20 | $9,028 |
| Budesonide | 25 | $8,654 |
| Atorvastatin Calcium | 776 | $7,900 |
| Sacubitril/Valsartan | 18 | $7,774 |
| Umeclidinium Brm/Vilanterol Tr | 15 | $7,410 |
| Ipratropium/Albuterol Sulfate | 14 | $7,108 |
| Gabapentin | 503 | $6,390 |
| Insulin Aspart | 17 | $5,286 |
| Baclofen | 182 | $5,264 |
| Midodrine Hcl | 74 | $4,852 |
| Budesonide/Formoterol Fumarate | 12 | $4,845 |
Prescribing Profile
Patient Profile
75
Avg Age
51%
Female
2.89
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