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
21,796
Total Claims
$924K
Drug Cost
314
Beneficiaries
$2,942
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-67%
Opioid rate vs peers
1.0% vs 3.0% avg
+589%
Cost per patient vs peers
$2,942 vs $427 avg
+142%
Brand preference vs peers
12.7% vs 5.2% avg
🔎 Data Overview
Cost per patient is 589% 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
1.0%
Opioid Rate
213
Opioid Claims
$11K
Opioid Cost
10.3%
Long-Acting Rate
Brand vs Generic
Brand: 2,758 claims · $622K
Generic: 18,981 claims · $299K
Patient Profile
85
Avg Age
70%
Female
2.26
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