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
14,910
Total Claims
$9.8M
Drug Cost
191
Beneficiaries
$51K
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+16%
Opioid rate vs peers
2.6% vs 2.2% avg
+3518%
Cost per patient vs peers
$51K vs $1,411 avg
+194%
Brand preference vs peers
31.2% 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 3518% 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
2.6%
Opioid Rate
386
Opioid Claims
$8,200
Opioid Cost
15.0%
Long-Acting Rate
Brand vs Generic
Brand: 4,606 claims · $9.2M
Generic: 10,141 claims · $510K
Patient Profile
66
Avg Age
—
Female
1.52
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