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
1,400
Total Claims
$61K
Drug Cost
220
Beneficiaries
$275
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+742%
Opioid rate vs peers
18.9% vs 2.2% avg
-80%
Cost per patient vs peers
$275 vs $1,411 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 742% 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
18.9%
Opioid Rate
264
Opioid Claims
$17K
Opioid Cost
22.3%
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,316 claims · $39K
Patient Profile
74
Avg Age
53%
Female
3.06
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