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
13,658
Total Claims
$762K
Drug Cost
371
Beneficiaries
$2,053
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+881%
Opioid rate vs peers
22.0% vs 2.2% avg
+45%
Cost per patient vs peers
$2,053 vs $1,411 avg
-12%
Brand preference vs peers
9.4% 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 881% 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
22.0%
Opioid Rate
3,000
Opioid Claims
$248K
Opioid Cost
23.9%
Long-Acting Rate
This provider's opioid prescribing rate of 22.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,272 claims · $429K
Generic: 12,329 claims · $333K
Patient Profile
71
Avg Age
54%
Female
1.97
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