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
12,315
Total Claims
$1.3M
Drug Cost
570
Beneficiaries
$2,289
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
+50%
Cost per patient vs peers
$2,289 vs $1,524 avg
+10%
Brand preference vs peers
15.0% vs 13.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
4.0%
Opioid Rate
496
Opioid Claims
$11K
Opioid Cost
16.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,837 claims · $995K
Generic: 10,417 claims · $307K
Patient Profile
74
Avg Age
54%
Female
1.75
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