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
10,102
Total Claims
$925K
Drug Cost
313
Beneficiaries
$2,957
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+567%
Opioid rate vs peers
14.9% vs 2.2% avg
+110%
Cost per patient vs peers
$2,957 vs $1,411 avg
-3%
Brand preference vs peers
10.3% vs 10.6% avg
🔎 Data Overview
Opioid prescribing rate is 567% 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
14.9%
Opioid Rate
1,508
Opioid Claims
$55K
Opioid Cost
24.7%
Long-Acting Rate
Brand vs Generic
Brand: 1,026 claims · $614K
Generic: 8,930 claims · $307K
Patient Profile
68
Avg Age
44%
Female
1.32
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About