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
460
Total Claims
$99K
Drug Cost
116
Beneficiaries
$851
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-56%
Cost per patient vs peers
$851 vs $1,956 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
15.0%
Opioid Rate
69
Opioid Claims
$15K
Opioid Cost
36.2%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 392 claims · $25K
Patient Profile
69
Avg Age
49%
Female
1.59
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