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
1,022
Total Claims
$86K
Drug Cost
111
Beneficiaries
$774
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+3388%
Opioid rate vs peers
78.1% vs 2.2% avg
-45%
Cost per patient vs peers
$774 vs $1,411 avg
+13%
Brand preference vs peers
12.0% 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 3,388% 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
78.1%
Opioid Rate
798
Opioid Claims
$79K
Opioid Cost
25.8%
Long-Acting Rate
This provider's opioid prescribing rate of 78.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 123 claims · $64K
Generic: 899 claims · $22K
Patient Profile
69
Avg Age
58%
Female
1.44
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