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
159
Total Claims
$45K
Drug Cost
45
Beneficiaries
$994
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2429%
Opioid rate vs peers
56.6% vs 2.2% avg
-30%
Cost per patient vs peers
$994 vs $1,411 avg
+18%
Brand preference vs peers
12.6% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.6%
Opioid Rate
90
Opioid Claims
$7,273
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 56.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $42K
Generic: 139 claims · $2,470
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 39 | $701 |
| Oxycodone Hcl/Acetaminophen | 20 | $467 |
| Gabapentin | 15 | $462 |
| Morphine Sulfate | 15 | $378 |
Prescribing Profile
4
Unique Drugs
45.0
Anomaly Score
Patient Profile
50
Avg Age
56%
Female
4.12
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.Methodology · About