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
872
Total Claims
$280K
Drug Cost
27
Beneficiaries
$10K
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 21,141 Psychiatry providers
+512%
Cost per patient vs peers
$10K vs $1,696 avg
+324%
Brand preference vs peers
21.0% 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 512% 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
4.0%
Opioid Rate
35
Opioid Claims
$250
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 183 claims · $248K
Generic: 689 claims · $32K
Patient Profile
59
Avg Age
52%
Female
1.77
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