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
1,136
Total Claims
$56K
Drug Cost
674
Beneficiaries
$83
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1902%
Opioid rate vs peers
44.8% vs 2.2% avg
-94%
Cost per patient vs peers
$83 vs $1,411 avg
-53%
Brand preference vs peers
5.0% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
44.8%
Opioid Rate
509
Opioid Claims
$5,465
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 44.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 57 claims · $38K
Generic: 1,079 claims · $18K
Patient Profile
73
Avg Age
58%
Female
0.96
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