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
277
Total Claims
$22K
Drug Cost
99
Beneficiaries
$221
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+3867%
Opioid rate vs peers
88.8% vs 2.2% avg
-84%
Cost per patient vs peers
$221 vs $1,411 avg
+2%
Brand preference vs peers
10.8% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
88.8%
Opioid Rate
246
Opioid Claims
$21K
Opioid Cost
32.1%
Long-Acting Rate
This provider's opioid prescribing rate of 88.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $14K
Generic: 247 claims · $8,203
Patient Profile
70
Avg Age
56%
Female
3.34
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