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
1,728
Total Claims
$88K
Drug Cost
275
Beneficiaries
$321
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1242%
Opioid rate vs peers
30.0% vs 2.2% avg
-77%
Cost per patient vs peers
$321 vs $1,411 avg
+16%
Brand preference vs peers
12.4% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
30.0%
Opioid Rate
519
Opioid Claims
$21K
Opioid Cost
21.6%
Long-Acting Rate
This provider's opioid prescribing rate of 30.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 214 claims · $52K
Generic: 1,514 claims · $36K
Patient Profile
77
Avg Age
64%
Female
2.60
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