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
6,654
Total Claims
$688K
Drug Cost
223
Beneficiaries
$3,085
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+659%
Opioid rate vs peers
17.0% vs 2.2% avg
+119%
Cost per patient vs peers
$3,085 vs $1,411 avg
+12%
Brand preference vs peers
11.9% 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 659% 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
17.0%
Opioid Rate
1,130
Opioid Claims
$30K
Opioid Cost
1.5%
Long-Acting Rate
Brand vs Generic
Brand: 779 claims · $290K
Generic: 5,792 claims · $394K
Patient Profile
65
Avg Age
53%
Female
1.67
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