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
21,057
Total Claims
$1.8M
Drug Cost
683
Beneficiaries
$2,638
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 22,639 Obstetrics & Gynecology providers
+15%
Opioid rate vs peers
1.5% vs 1.3% avg
+601%
Cost per patient vs peers
$2,638 vs $376 avg
+8%
Brand preference vs peers
13.0% vs 12.1% avg
🔎 Data Overview
Cost per patient is 601% 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
1.5%
Opioid Rate
310
Opioid Claims
$6,396
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,722 claims · $1.3M
Generic: 18,175 claims · $538K
Patient Profile
67
Avg Age
59%
Female
1.80
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