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
3,013
Total Claims
$4.3M
Drug Cost
274
Beneficiaries
$16K
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
+705%
Cost per patient vs peers
$16K vs $1,956 avg
+170%
Brand preference vs peers
38.8% vs 14.4% 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 705% 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
4.5%
Opioid Rate
137
Opioid Claims
$6,926
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,162 claims · $4.1M
Generic: 1,829 claims · $164K
Patient Profile
63
Avg Age
69%
Female
2.58
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