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
7,232
Total Claims
$758K
Drug Cost
200
Beneficiaries
$3,792
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
+94%
Cost per patient vs peers
$3,792 vs $1,956 avg
+41%
Brand preference vs peers
20.3% vs 14.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
4.4%
Opioid Rate
317
Opioid Claims
$6,484
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,455 claims · $591K
Generic: 5,703 claims · $164K
Patient Profile
78
Avg Age
63%
Female
2.26
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