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
257
Total Claims
$42K
Drug Cost
48
Beneficiaries
$878
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2055%
Opioid rate vs peers
48.2% vs 2.2% avg
-38%
Cost per patient vs peers
$878 vs $1,411 avg
+21%
Brand preference vs peers
12.8% 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 2,055% 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
48.2%
Opioid Rate
124
Opioid Claims
$3,275
Opioid Cost
35.5%
Long-Acting Rate
This provider's opioid prescribing rate of 48.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $35K
Generic: 224 claims · $6,875
Patient Profile
54
Avg Age
67%
Female
4.47
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