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
8,730
Total Claims
$420K
Drug Cost
1,053
Beneficiaries
$399
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2204%
Opioid rate vs peers
51.6% vs 2.2% avg
-72%
Cost per patient vs peers
$399 vs $1,411 avg
-73%
Brand preference vs peers
2.9% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
51.6%
Opioid Rate
4,502
Opioid Claims
$280K
Opioid Cost
5.8%
Long-Acting Rate
This provider's opioid prescribing rate of 51.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 249 claims · $98K
Generic: 8,481 claims · $322K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,819 | $103K |
| Hydrocodone/Acetaminophen | 2,043 | $51K |
| Oxycodone Hcl/Acetaminophen | 13 | $37K |
| Gabapentin | 1,303 | $26K |
| Pregabalin | 490 | $23K |
| Buprenorphine | 67 | $23K |
| Buprenorphine Hcl | 22 | $20K |
| Linaclotide | 25 | $18K |
| Oxycodone Myristate | 25 | $18K |
| Diclofenac Sodium | 264 | $18K |
| Lidocaine | 65 | $9,215 |
| Oxycodone Hcl | 11 | $5,583 |
| Celecoxib | 157 | $5,023 |
| Tizanidine Hcl | 523 | $4,928 |
| Duloxetine Hcl | 138 | $4,439 |
Prescribing Profile
32
Unique Drugs
40.0
Anomaly Score
Patient Profile
67
Avg Age
64%
Female
1.80
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