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
964
Total Claims
$92K
Drug Cost
40
Beneficiaries
$2,288
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2486%
Opioid rate vs peers
57.9% vs 2.2% avg
+62%
Cost per patient vs peers
$2,288 vs $1,411 avg
+71%
Brand preference vs peers
18.2% 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 2,486% 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
57.9%
Opioid Rate
558
Opioid Claims
$23K
Opioid Cost
22.6%
Long-Acting Rate
This provider's opioid prescribing rate of 57.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 175 claims · $66K
Generic: 789 claims · $26K
Patient Profile
49
Avg Age
73%
Female
4.66
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