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
1,250
Total Claims
$19K
Drug Cost
326
Beneficiaries
$58
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2434%
Opioid rate vs peers
56.7% vs 2.2% avg
-96%
Cost per patient vs peers
$58 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.7%
Opioid Rate
709
Opioid Claims
$7,425
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $1,308
Generic: 1,239 claims · $18K
Patient Profile
74
Avg Age
68%
Female
1.24
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