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
8,232
Total Claims
$614K
Drug Cost
355
Beneficiaries
$1,729
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+429%
Opioid rate vs peers
11.8% vs 2.2% avg
+23%
Cost per patient vs peers
$1,729 vs $1,411 avg
+41%
Brand preference vs peers
15.0% vs 10.6% avg
🔎 Data Overview
Opioid rate is 429% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
11.8%
Opioid Rate
975
Opioid Claims
$31K
Opioid Cost
30.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,228 claims · $419K
Generic: 6,984 claims · $194K
Patient Profile
78
Avg Age
64%
Female
3.18
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