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
920
Total Claims
$41K
Drug Cost
125
Beneficiaries
$326
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+939%
Opioid rate vs peers
23.3% vs 2.2% avg
-77%
Cost per patient vs peers
$326 vs $1,411 avg
-17%
Brand preference vs peers
8.8% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 939% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
23.3%
Opioid Rate
214
Opioid Claims
$11K
Opioid Cost
37.4%
Long-Acting Rate
This provider's opioid prescribing rate of 23.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 80 claims · $14K
Generic: 829 claims · $26K
Patient Profile
81
Avg Age
64%
Female
2.59
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