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
468
Total Claims
$27K
Drug Cost
78
Beneficiaries
$346
Cost/Patient
Risk Score Breakdown 38/100
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
-76%
Cost per patient vs peers
$346 vs $1,411 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 1,437% 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
34.4%
Opioid Rate
161
Opioid Claims
$18K
Opioid Cost
44.1%
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: 50 claims · $9,640
Generic: 418 claims · $17K
Patient Profile
71
Avg Age
50%
Female
2.66
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