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 →47
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
827
Total Claims
$486K
Drug Cost
32
Beneficiaries
$15K
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 10,307 Psychiatry & Neurology providers
+1047%
Cost per patient vs peers
$15K vs $1,323 avg
+189%
Brand preference vs peers
14.6% 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 1047% 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
34.7%
Opioid Rate
287
Opioid Claims
$46K
Opioid Cost
48.1%
Long-Acting Rate
This provider's opioid prescribing rate of 34.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 121 claims · $401K
Generic: 706 claims · $84K
Patient Profile
64
Avg Age
66%
Female
0.96
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