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
425
Total Claims
$22K
Drug Cost
171
Beneficiaries
$129
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+489%
Opioid rate vs peers
13.2% vs 2.2% avg
-91%
Cost per patient vs peers
$129 vs $1,411 avg
+2%
Brand preference vs peers
10.8% vs 10.6% avg
🔎 Data Overview
Opioid rate is 489% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
13.2%
Opioid Rate
56
Opioid Claims
$492
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 46 claims · $16K
Generic: 379 claims · $6,386
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 19 | $9,604 |
| Ondansetron | 25 | $317 |
| Doxycycline Hyclate | 22 | $309 |
| Albuterol Sulfate | 12 | $293 |
| Pantoprazole Sodium | 20 | $216 |
| Hydrocodone/Acetaminophen | 24 | $149 |
| Lactulose | 12 | $138 |
| Ciprofloxacin Hcl | 14 | $93 |
| Methylprednisolone | 12 | $80 |
| Levofloxacin | 12 | $65 |
| Prednisone | 18 | $62 |
| Oxycodone Hcl/Acetaminophen | 12 | $42 |
| Amlodipine Besylate | 12 | $31 |
| Tramadol Hcl | 12 | $16 |
Prescribing Profile
Patient Profile
72
Avg Age
57%
Female
2.90
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About