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
263
Total Claims
$480K
Drug Cost
85
Beneficiaries
$5,642
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
+189%
Cost per patient vs peers
$5,642 vs $1,956 avg
+296%
Brand preference vs peers
57.0% vs 14.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
12.9%
Opioid Rate
34
Opioid Claims
$266
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 150 claims · $477K
Generic: 113 claims · $2,774
Patient Profile
68
Avg Age
57%
Female
2.40
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