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
308
Total Claims
$48K
Drug Cost
85
Beneficiaries
$567
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1176%
Opioid rate vs peers
28.6% vs 2.2% avg
-60%
Cost per patient vs peers
$567 vs $1,411 avg
+37%
Brand preference vs peers
14.6% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
28.6%
Opioid Rate
88
Opioid Claims
$8,794
Opioid Cost
30.7%
Long-Acting Rate
This provider's opioid prescribing rate of 28.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $35K
Generic: 263 claims · $13K
Patient Profile
63
Avg Age
66%
Female
1.44
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