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
1,028
Total Claims
$169K
Drug Cost
96
Beneficiaries
$1,760
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2707%
Opioid rate vs peers
62.8% vs 2.2% avg
+25%
Cost per patient vs peers
$1,760 vs $1,411 avg
-5%
Brand preference vs peers
10.1% 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 2,707% 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
62.8%
Opioid Rate
646
Opioid Claims
$148K
Opioid Cost
36.4%
Long-Acting Rate
This provider's opioid prescribing rate of 62.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 104 claims · $109K
Generic: 924 claims · $60K
Patient Profile
64
Avg Age
63%
Female
3.06
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