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
1,261
Total Claims
$210K
Drug Cost
135
Beneficiaries
$1,553
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
+2%
Cost per patient vs peers
$1,553 vs $1,524 avg
-38%
Brand preference vs peers
8.5% vs 13.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
54.7%
Opioid Rate
690
Opioid Claims
$98K
Opioid Cost
17.2%
Long-Acting Rate
This provider's opioid prescribing rate of 54.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 107 claims · $81K
Generic: 1,154 claims · $128K
Patient Profile
67
Avg Age
51%
Female
1.99
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