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
4,251
Total Claims
$727K
Drug Cost
188
Beneficiaries
$3,869
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+678%
Opioid rate vs peers
17.4% vs 2.2% avg
+174%
Cost per patient vs peers
$3,869 vs $1,411 avg
+72%
Brand preference vs peers
18.3% 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 678% 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
17.4%
Opioid Rate
740
Opioid Claims
$120K
Opioid Cost
21.4%
Long-Acting Rate
Brand vs Generic
Brand: 768 claims · $573K
Generic: 3,428 claims · $152K
Patient Profile
70
Avg Age
54%
Female
1.60
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