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
1,273
Total Claims
$3.6M
Drug Cost
147
Beneficiaries
$24K
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1072%
Opioid rate vs peers
26.2% vs 2.2% avg
+1633%
Cost per patient vs peers
$24K vs $1,411 avg
+181%
Brand preference vs peers
29.9% 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 1,072% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 1633% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
26.2%
Opioid Rate
334
Opioid Claims
$12K
Opioid Cost
21.0%
Long-Acting Rate
This provider's opioid prescribing rate of 26.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 380 claims · $3.3M
Generic: 893 claims · $275K
Patient Profile
66
Avg Age
52%
Female
3.12
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