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
574
Total Claims
$15K
Drug Cost
318
Beneficiaries
$47
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1721%
Opioid rate vs peers
40.8% vs 2.2% avg
-97%
Cost per patient vs peers
$47 vs $1,411 avg
-62%
Brand preference vs peers
4.0% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.8%
Opioid Rate
234
Opioid Claims
$2,115
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 40.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $5,602
Generic: 551 claims · $9,379
Patient Profile
73
Avg Age
49%
Female
1.45
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