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
1,937
Total Claims
$279K
Drug Cost
671
Beneficiaries
$416
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 9,928 Urology providers
+355%
Opioid rate vs peers
15.3% vs 3.4% avg
-42%
Cost per patient vs peers
$416 vs $714 avg
🔎 Data Overview
Opioid rate is 355% above Urology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
15.3%
Opioid Rate
297
Opioid Claims
$1,671
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,607 claims · $32K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Vibegron | 249 | $165K |
| Relugolix | 18 | $47K |
| Mirabegron | 40 | $31K |
| Tamsulosin Hcl | 556 | $12K |
| Solifenacin Succinate | 108 | $6,547 |
| Finasteride | 144 | $2,923 |
| Estradiol | 20 | $2,117 |
| Amoxicillin/Potassium Clav | 141 | $1,809 |
| Hydrocodone/Acetaminophen | 269 | $1,573 |
| Oxybutynin Chloride | 31 | $792 |
| Trimethoprim | 11 | $757 |
| Oxybutynin Chloride | 30 | $556 |
| Cephalexin | 35 | $408 |
| Ciprofloxacin Hcl | 122 | $325 |
| Nitrofurantoin Monohyd/M-Cryst | 17 | $321 |
Prescribing Profile
17
Unique Drugs
10.0
Anomaly Score
Patient Profile
72
Avg Age
24%
Female
1.62
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 of wrongdoing.Methodology · About · Dispute this data