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
2,842
Total Claims
$409K
Drug Cost
492
Beneficiaries
$831
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,141 Psychiatry providers
-51%
Cost per patient vs peers
$831 vs $1,696 avg
+177%
Brand preference vs peers
13.7% vs 5.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Composite risk score of 50/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
57.1%
Opioid Rate
1,622
Opioid Claims
$350K
Opioid Cost
21.4%
Long-Acting Rate
This provider's opioid prescribing rate of 57.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 389 claims · $266K
Generic: 2,453 claims · $143K
Patient Profile
70
Avg Age
58%
Female
1.23
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