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
469
Total Claims
$1.0M
Drug Cost
54
Beneficiaries
$19K
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,141 Psychiatry providers
+1045%
Cost per patient vs peers
$19K vs $1,696 avg
+473%
Brand preference vs peers
28.4% vs 5.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 1045% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.4%
Opioid Rate
58
Opioid Claims
$634
Opioid Cost
19.0%
Long-Acting Rate
Brand vs Generic
Brand: 133 claims · $1.0M
Generic: 336 claims · $15K
Patient Profile
70
Avg Age
50%
Female
1.07
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