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
435
Total Claims
$72K
Drug Cost
66
Beneficiaries
$1,093
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+3012%
Opioid rate vs peers
69.7% vs 2.2% avg
-23%
Cost per patient vs peers
$1,093 vs $1,411 avg
+62%
Brand preference vs peers
17.2% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
69.7%
Opioid Rate
303
Opioid Claims
$69K
Opioid Cost
46.9%
Long-Acting Rate
This provider's opioid prescribing rate of 69.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 75 claims · $58K
Generic: 360 claims · $14K
Patient Profile
67
Avg Age
59%
Female
4.04
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