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
2,400
Total Claims
$225K
Drug Cost
74
Beneficiaries
$3,042
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+704%
Opioid rate vs peers
18.0% vs 2.2% avg
+116%
Cost per patient vs peers
$3,042 vs $1,411 avg
-20%
Brand preference vs peers
8.5% 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 704% 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
18.0%
Opioid Rate
432
Opioid Claims
$30K
Opioid Cost
46.1%
Long-Acting Rate
Brand vs Generic
Brand: 202 claims · $97K
Generic: 2,186 claims · $128K
Patient Profile
59
Avg Age
68%
Female
1.39
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