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
6,667
Total Claims
$586K
Drug Cost
168
Beneficiaries
$3,489
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+701%
Opioid rate vs peers
17.9% vs 2.2% avg
+147%
Cost per patient vs peers
$3,489 vs $1,411 avg
+18%
Brand preference vs peers
12.6% 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 701% 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
17.9%
Opioid Rate
1,195
Opioid Claims
$29K
Opioid Cost
6.5%
Long-Acting Rate
Brand vs Generic
Brand: 830 claims · $482K
Generic: 5,770 claims · $100K
Patient Profile
65
Avg Age
64%
Female
1.46
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