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
1,420
Total Claims
$4.8M
Drug Cost
216
Beneficiaries
$22K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+671%
Opioid rate vs peers
17.3% vs 2.2% avg
+1459%
Cost per patient vs peers
$22K vs $1,411 avg
+240%
Brand preference vs peers
36.1% 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 671% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 1459% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
17.3%
Opioid Rate
245
Opioid Claims
$7,309
Opioid Cost
14.7%
Long-Acting Rate
Brand vs Generic
Brand: 513 claims · $4.2M
Generic: 907 claims · $532K
Patient Profile
73
Avg Age
69%
Female
2.59
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