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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
101
Total Claims
$5,589
Drug Cost
69
Beneficiaries
$81
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2642%
Opioid rate vs peers
61.4% vs 2.2% avg
-94%
Cost per patient vs peers
$81 vs $1,411 avg
+133%
Brand preference vs peers
24.8% 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 2,642% 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
61.4%
Opioid Rate
62
Opioid Claims
$245
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 61.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 25 claims · $4,763
Generic: 76 claims · $827
Patient Profile
73
Avg Age
46%
Female
0.80
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