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
7,521
Total Claims
$1.0M
Drug Cost
187
Beneficiaries
$5,610
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+778%
Opioid rate vs peers
19.7% vs 2.2% avg
+298%
Cost per patient vs peers
$5,610 vs $1,411 avg
+23%
Brand preference vs peers
13.1% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 778% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
19.7%
Opioid Rate
1,479
Opioid Claims
$32K
Opioid Cost
7.1%
Long-Acting Rate
Brand vs Generic
Brand: 978 claims · $837K
Generic: 6,515 claims · $210K
Patient Profile
61
Avg Age
59%
Female
1.76
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