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
19,756
Total Claims
$2.1M
Drug Cost
808
Beneficiaries
$2,580
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-93%
Opioid rate vs peers
0.2% vs 3.0% avg
+504%
Cost per patient vs peers
$2,580 vs $427 avg
+160%
Brand preference vs peers
13.7% vs 5.2% avg
🔎 Data Overview
Cost per patient is 504% 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
0.2%
Opioid Rate
39
Opioid Claims
$219
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,671 claims · $1.8M
Generic: 16,896 claims · $271K
Patient Profile
71
Avg Age
61%
Female
1.48
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