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
375
Total Claims
$26K
Drug Cost
221
Beneficiaries
$118
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2116%
Opioid rate vs peers
49.6% vs 2.2% avg
-92%
Cost per patient vs peers
$118 vs $1,411 avg
-15%
Brand preference vs peers
9.1% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.6%
Opioid Rate
186
Opioid Claims
$1,849
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 49.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 34 claims · $22K
Generic: 341 claims · $3,966
Patient Profile
73
Avg Age
57%
Female
1.03
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