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
795
Total Claims
$41K
Drug Cost
105
Beneficiaries
$394
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2485%
Opioid rate vs peers
57.9% vs 2.2% avg
-72%
Cost per patient vs peers
$394 vs $1,411 avg
-76%
Brand preference vs peers
2.5% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.9%
Opioid Rate
460
Opioid Claims
$11K
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 57.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $7,305
Generic: 775 claims · $34K
Patient Profile
71
Avg Age
67%
Female
3.31
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