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
20,274
Total Claims
$2.7M
Drug Cost
891
Beneficiaries
$3,044
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-94%
Opioid rate vs peers
0.2% vs 3.0% avg
+613%
Cost per patient vs peers
$3,044 vs $427 avg
+169%
Brand preference vs peers
14.1% vs 5.2% avg
🔎 Data Overview
Cost per patient is 613% 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
37
Opioid Claims
$342
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,820 claims · $2.0M
Generic: 17,217 claims · $740K
Patient Profile
74
Avg Age
51%
Female
1.00
Avg Risk Score
Explore More
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