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
1,962
Total Claims
$1.2M
Drug Cost
113
Beneficiaries
$11K
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,141 Psychiatry providers
+544%
Cost per patient vs peers
$11K vs $1,696 avg
+262%
Brand preference vs peers
17.9% 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 544% 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
49.2%
Opioid Rate
966
Opioid Claims
$160K
Opioid Cost
37.0%
Long-Acting Rate
This provider's opioid prescribing rate of 49.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 351 claims · $967K
Generic: 1,611 claims · $266K
Patient Profile
42
Avg Age
58%
Female
4.87
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About