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
10,416
Total Claims
$1.4M
Drug Cost
163
Beneficiaries
$8,734
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-88%
Opioid rate vs peers
0.3% vs 2.2% avg
+519%
Cost per patient vs peers
$8,734 vs $1,411 avg
+55%
Brand preference vs peers
16.5% vs 10.6% avg
🔎 Data Overview
Cost per patient is 519% 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
0.3%
Opioid Rate
27
Opioid Claims
$2,508
Opioid Cost
44.4%
Long-Acting Rate
Brand vs Generic
Brand: 1,709 claims · $944K
Generic: 8,671 claims · $477K
Patient Profile
60
Avg Age
52%
Female
3.29
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