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
214
Total Claims
$12K
Drug Cost
33
Beneficiaries
$361
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1946%
Opioid rate vs peers
45.8% vs 2.2% avg
-74%
Cost per patient vs peers
$361 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.8%
Opioid Rate
98
Opioid Claims
$5,021
Opioid Cost
26.5%
Long-Acting Rate
This provider's opioid prescribing rate of 45.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 204 claims · $7,236
Patient Profile
69
Avg Age
67%
Female
3.55
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