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
6,907
Total Claims
$5.5M
Drug Cost
149
Beneficiaries
$37K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+34%
Opioid rate vs peers
3.0% vs 2.2% avg
+2538%
Cost per patient vs peers
$37K vs $1,411 avg
+184%
Brand preference vs peers
30.2% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 2538% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
3.0%
Opioid Rate
207
Opioid Claims
$11K
Opioid Cost
42.0%
Long-Acting Rate
Brand vs Generic
Brand: 2,077 claims · $5.2M
Generic: 4,791 claims · $370K
Patient Profile
65
Avg Age
22%
Female
2.23
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