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
5,581
Total Claims
$7.1M
Drug Cost
222
Beneficiaries
$32K
Cost/Patient
Risk Score Breakdown 53/100
Score components are additive. Read full methodology
Peer Comparison vs. 3,536 Allergy/ Immunology providers
+815%
Cost per patient vs peers
$32K vs $3,515 avg
-38%
Brand preference vs peers
16.9% vs 27.3% 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 815% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Composite risk score of 53/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
9.6%
Opioid Rate
533
Opioid Claims
$26K
Opioid Cost
27.6%
Long-Acting Rate
Brand vs Generic
Brand: 937 claims · $7.0M
Generic: 4,597 claims · $143K
Patient Profile
63
Avg Age
68%
Female
1.74
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