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
288
Total Claims
$19K
Drug Cost
50
Beneficiaries
$372
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1668%
Opioid rate vs peers
39.6% vs 2.2% avg
-74%
Cost per patient vs peers
$372 vs $1,411 avg
+24%
Brand preference vs peers
13.2% 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 1,668% 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
39.6%
Opioid Rate
114
Opioid Claims
$15K
Opioid Cost
39.5%
Long-Acting Rate
This provider's opioid prescribing rate of 39.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 38 claims · $12K
Generic: 250 claims · $7,092
Patient Profile
71
Avg Age
44%
Female
2.83
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