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
5,502
Total Claims
$262K
Drug Cost
181
Beneficiaries
$1,445
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-26%
Cost per patient vs peers
$1,445 vs $1,956 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
23.5%
Opioid Rate
1,295
Opioid Claims
$33K
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 23.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,373 claims · $159K
Patient Profile
62
Avg Age
61%
Female
2.02
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