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
5,048
Total Claims
$333K
Drug Cost
396
Beneficiaries
$841
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1410%
Opioid rate vs peers
33.8% vs 2.2% avg
-40%
Cost per patient vs peers
$841 vs $1,411 avg
-38%
Brand preference vs peers
6.6% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
33.8%
Opioid Rate
1,706
Opioid Claims
$104K
Opioid Cost
5.8%
Long-Acting Rate
This provider's opioid prescribing rate of 33.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 332 claims · $223K
Generic: 4,698 claims · $108K
Patient Profile
65
Avg Age
62%
Female
1.65
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