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
319
Total Claims
$10K
Drug Cost
41
Beneficiaries
$255
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1945%
Opioid rate vs peers
45.8% vs 2.2% avg
-82%
Cost per patient vs peers
$255 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.8%
Opioid Rate
146
Opioid Claims
$2,550
Opioid Cost
37.0%
Long-Acting Rate
This provider's opioid prescribing rate of 45.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 306 claims · $8,382
Patient Profile
70
Avg Age
56%
Female
3.79
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