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
296
Total Claims
$18K
Drug Cost
54
Beneficiaries
$331
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2466%
Opioid rate vs peers
57.4% vs 2.2% avg
-77%
Cost per patient vs peers
$331 vs $1,411 avg
-24%
Brand preference vs peers
8.1% 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 2,466% 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
57.4%
Opioid Rate
170
Opioid Claims
$13K
Opioid Cost
45.9%
Long-Acting Rate
This provider's opioid prescribing rate of 57.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 24 claims · $10K
Generic: 272 claims · $7,386
Patient Profile
71
Avg Age
46%
Female
3.37
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