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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
314
Total Claims
$10K
Drug Cost
168
Beneficiaries
$60
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1493%
Opioid rate vs peers
35.7% vs 2.2% avg
-96%
Cost per patient vs peers
$60 vs $1,411 avg
-52%
Brand preference vs peers
5.1% 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 1,493% 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
35.7%
Opioid Rate
112
Opioid Claims
$315
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 35.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $6,019
Generic: 298 claims · $3,991
Patient Profile
73
Avg Age
27%
Female
1.77
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