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
416
Total Claims
$836K
Drug Cost
36
Beneficiaries
$23K
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,387 Infectious Disease providers
+190%
Cost per patient vs peers
$23K vs $8,010 avg
-1%
Brand preference vs peers
21.2% vs 21.3% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
11.3%
Opioid Rate
47
Opioid Claims
$2,645
Opioid Cost
51.1%
Long-Acting Rate
Brand vs Generic
Brand: 88 claims · $641K
Generic: 328 claims · $195K
Patient Profile
63
Avg Age
31%
Female
1.64
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