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
495
Total Claims
$143K
Drug Cost
126
Beneficiaries
$1,137
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 13,928 Gastroenterology providers
-42%
Cost per patient vs peers
$1,137 vs $1,956 avg
+8%
Brand preference vs peers
15.6% vs 14.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
25.5%
Opioid Rate
126
Opioid Claims
$9,813
Opioid Cost
23.8%
Long-Acting Rate
This provider's opioid prescribing rate of 25.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 77 claims · $124K
Generic: 418 claims · $19K
Patient Profile
72
Avg Age
33%
Female
1.52
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