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
464
Total Claims
$3.9M
Drug Cost
87
Beneficiaries
$45K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
+2213%
Cost per patient vs peers
$45K vs $1,956 avg
+213%
Brand preference vs peers
45.0% vs 14.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
4.3%
Opioid Rate
20
Opioid Claims
$944
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 204 claims · $3.8M
Generic: 249 claims · $100K
Patient Profile
68
Avg Age
55%
Female
1.61
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