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
585
Total Claims
$508K
Drug Cost
98
Beneficiaries
$5,181
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1175%
Opioid rate vs peers
28.5% vs 2.2% avg
+267%
Cost per patient vs peers
$5,181 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
28.5%
Opioid Rate
167
Opioid Claims
$19K
Opioid Cost
24.0%
Long-Acting Rate
This provider's opioid prescribing rate of 28.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 336 claims · $10K
Patient Profile
69
Avg Age
57%
Female
2.36
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