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
9,189
Total Claims
$417K
Drug Cost
461
Beneficiaries
$904
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2224%
Opioid rate vs peers
52.0% vs 2.2% avg
-36%
Cost per patient vs peers
$904 vs $1,411 avg
-73%
Brand preference vs peers
2.8% 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 2,224% 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
52.0%
Opioid Rate
4,780
Opioid Claims
$276K
Opioid Cost
14.0%
Long-Acting Rate
This provider's opioid prescribing rate of 52.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 261 claims · $167K
Generic: 8,928 claims · $250K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 113 | $91K |
| Oxycodone Hcl/Acetaminophen | 2,437 | $90K |
| Gabapentin | 2,457 | $38K |
| Hydrocodone/Acetaminophen | 1,139 | $29K |
| Oxycodone Hcl | 37 | $28K |
| Pregabalin | 19 | $22K |
| Pregabalin | 433 | $19K |
| Morphine Sulfate | 466 | $16K |
| Naloxone Hcl | 187 | $15K |
| Oxycodone Hcl | 440 | $11K |
| Tizanidine Hcl | 488 | $8,581 |
| Lidocaine | 32 | $4,800 |
| Buprenorphine | 13 | $4,007 |
| Baclofen | 105 | $3,501 |
| Fentanyl | 12 | $3,096 |
Prescribing Profile
22
Unique Drugs
44.0
Anomaly Score
Patient Profile
65
Avg Age
49%
Female
1.55
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