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
3,722
Total Claims
$8.6M
Drug Cost
522
Beneficiaries
$16K
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 17,757 Ophthalmology providers
+2641%
Cost per patient vs peers
$16K vs $600 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 2641% 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
0.3%
Opioid Rate
13
Opioid Claims
$1,896
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 2,204 claims · $122K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Corticotropin | 76 | $5.5M |
| Adalimumab | 85 | $692K |
| Infliximab | 64 | $410K |
| Immun Glob G(Igg)/Gly/Iga Ov50 | 33 | $330K |
| Immun Glob G(Igg)/Pro/Iga 0-50 | 24 | $122K |
| Cyclosporine | 78 | $99K |
| Tocilizumab | 12 | $71K |
| Bromfenac Sodium | 127 | $70K |
| Lifitegrast | 51 | $52K |
| Brimonidine Tartrate | 118 | $39K |
| Cyclosporine | 28 | $28K |
| Bimatoprost | 39 | $25K |
| Brimonidine Tartrate/Timolol | 52 | $17K |
| Travoprost | 14 | $15K |
| Ganciclovir | 25 | $14K |
Prescribing Profile
51
Unique Drugs
6.0
Anomaly Score
Patient Profile
73
Avg Age
68%
Female
1.19
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