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
308
Total Claims
$104K
Drug Cost
79
Beneficiaries
$1,320
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-32%
Cost per patient vs peers
$1,320 vs $1,956 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
11.4%
Opioid Rate
35
Opioid Claims
$1,576
Opioid Cost
34.3%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 242 claims · $12K
Patient Profile
72
Avg Age
63%
Female
1.53
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