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
1,336
Total Claims
$140K
Drug Cost
206
Beneficiaries
$682
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2766%
Opioid rate vs peers
64.1% vs 2.2% avg
-52%
Cost per patient vs peers
$682 vs $1,411 avg
+31%
Brand preference vs peers
13.9% 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 2,766% 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
64.1%
Opioid Rate
857
Opioid Claims
$109K
Opioid Cost
54.3%
Long-Acting Rate
This provider's opioid prescribing rate of 64.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 186 claims · $65K
Generic: 1,150 claims · $76K
Patient Profile
71
Avg Age
49%
Female
3.25
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