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
2,194
Total Claims
$4.1M
Drug Cost
303
Beneficiaries
$14K
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
+592%
Cost per patient vs peers
$14K vs $1,956 avg
+87%
Brand preference vs peers
26.9% 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 592% 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
5.3%
Opioid Rate
116
Opioid Claims
$8,361
Opioid Cost
25.0%
Long-Acting Rate
Brand vs Generic
Brand: 584 claims · $4.0M
Generic: 1,587 claims · $109K
Patient Profile
69
Avg Age
61%
Female
1.69
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