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
506
Total Claims
$18K
Drug Cost
349
Beneficiaries
$52
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1922%
Opioid rate vs peers
45.3% vs 2.2% avg
-96%
Cost per patient vs peers
$52 vs $1,411 avg
-42%
Brand preference vs peers
6.1% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.3%
Opioid Rate
229
Opioid Claims
$2,273
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 45.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 31 claims · $13K
Generic: 475 claims · $4,991
Patient Profile
75
Avg Age
59%
Female
1.76
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