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
186
Total Claims
$7,070
Drug Cost
28
Beneficiaries
$252
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1437%
Opioid rate vs peers
34.4% vs 2.2% avg
-82%
Cost per patient vs peers
$252 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
34.4%
Opioid Rate
64
Opioid Claims
$2,522
Opioid Cost
37.5%
Long-Acting Rate
This provider's opioid prescribing rate of 34.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 168 claims · $3,965
Patient Profile
76
Avg Age
57%
Female
3.14
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