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
10,235
Total Claims
$1.5M
Drug Cost
634
Beneficiaries
$2,424
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+734%
Opioid rate vs peers
18.7% vs 2.2% avg
+72%
Cost per patient vs peers
$2,424 vs $1,411 avg
+23%
Brand preference vs peers
13.0% 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 734% 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
18.7%
Opioid Rate
1,910
Opioid Claims
$193K
Opioid Cost
26.5%
Long-Acting Rate
Brand vs Generic
Brand: 1,324 claims · $1.2M
Generic: 8,827 claims · $264K
Patient Profile
70
Avg Age
66%
Female
2.32
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