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 →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,911
Total Claims
$700K
Drug Cost
499
Beneficiaries
$1,403
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1442%
Opioid rate vs peers
34.5% vs 2.2% avg
-1%
Cost per patient vs peers
$1,403 vs $1,411 avg
-27%
Brand preference vs peers
7.7% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
34.5%
Opioid Rate
2,731
Opioid Claims
$170K
Opioid Cost
8.7%
Long-Acting Rate
This provider's opioid prescribing rate of 34.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 610 claims · $483K
Generic: 7,282 claims · $216K
Patient Profile
67
Avg Age
65%
Female
1.47
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