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
85,452
Total Claims
$5.5M
Drug Cost
2,022
Beneficiaries
$2,722
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 16,767 Hospitalist providers
-97%
Opioid rate vs peers
0.1% vs 3.0% avg
+537%
Cost per patient vs peers
$2,722 vs $427 avg
+199%
Brand preference vs peers
15.7% vs 5.2% avg
🔎 Data Overview
Cost per patient is 537% 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
0.1%
Opioid Rate
70
Opioid Claims
$878
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 13,325 claims · $4.0M
Generic: 71,616 claims · $1.5M
Patient Profile
80
Avg Age
67%
Female
2.71
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