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
659
Total Claims
$16K
Drug Cost
53
Beneficiaries
$310
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2449%
Opioid rate vs peers
57.1% vs 2.2% avg
-78%
Cost per patient vs peers
$310 vs $1,411 avg
+40%
Brand preference vs peers
14.9% 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 2,449% 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
57.1%
Opioid Rate
376
Opioid Claims
$14K
Opioid Cost
5.9%
Long-Acting Rate
This provider's opioid prescribing rate of 57.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 98 claims · $4,437
Generic: 561 claims · $12K
Patient Profile
60
Avg Age
38%
Female
1.56
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