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
512
Total Claims
$16K
Drug Cost
113
Beneficiaries
$140
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1724%
Opioid rate vs peers
40.8% vs 2.2% avg
-90%
Cost per patient vs peers
$140 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.8%
Opioid Rate
209
Opioid Claims
$8,179
Opioid Cost
50.7%
Long-Acting Rate
This provider's opioid prescribing rate of 40.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 461 claims · $6,961
Patient Profile
78
Avg Age
58%
Female
3.22
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