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
366
Total Claims
$10K
Drug Cost
89
Beneficiaries
$118
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+999%
Opioid rate vs peers
24.6% vs 2.2% avg
-92%
Cost per patient vs peers
$118 vs $1,411 avg
-64%
Brand preference vs peers
3.8% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
24.6%
Opioid Rate
90
Opioid Claims
$7,216
Opioid Cost
32.2%
Long-Acting Rate
This provider's opioid prescribing rate of 24.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $4,952
Generic: 352 claims · $5,543
Patient Profile
79
Avg Age
65%
Female
2.23
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