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
401
Total Claims
$25K
Drug Cost
89
Beneficiaries
$279
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1838%
Opioid rate vs peers
43.4% vs 2.2% avg
-80%
Cost per patient vs peers
$279 vs $1,411 avg
-4%
Brand preference vs peers
10.2% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
43.4%
Opioid Rate
174
Opioid Claims
$18K
Opioid Cost
39.1%
Long-Acting Rate
This provider's opioid prescribing rate of 43.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 41 claims · $8,513
Generic: 360 claims · $16K
Patient Profile
71
Avg Age
60%
Female
3.78
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