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
508
Total Claims
$35K
Drug Cost
78
Beneficiaries
$454
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1333%
Opioid rate vs peers
32.1% vs 2.2% avg
-68%
Cost per patient vs peers
$454 vs $1,411 avg
-28%
Brand preference vs peers
7.7% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
32.1%
Opioid Rate
163
Opioid Claims
$6,248
Opioid Cost
38.0%
Long-Acting Rate
This provider's opioid prescribing rate of 32.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 38 claims · $18K
Generic: 458 claims · $15K
Patient Profile
72
Avg Age
42%
Female
2.92
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