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
5,172
Total Claims
$1.2M
Drug Cost
228
Beneficiaries
$5,365
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-17%
Opioid rate vs peers
2.5% vs 3.0% avg
+1156%
Cost per patient vs peers
$5,365 vs $427 avg
+218%
Brand preference vs peers
16.7% 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 1156% 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
2.5%
Opioid Rate
129
Opioid Claims
$7,451
Opioid Cost
17.8%
Long-Acting Rate
Brand vs Generic
Brand: 858 claims · $901K
Generic: 4,290 claims · $321K
Patient Profile
76
Avg Age
68%
Female
2.73
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