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
11,807
Total Claims
$1.3M
Drug Cost
796
Beneficiaries
$1,664
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+444%
Opioid rate vs peers
12.2% vs 2.2% avg
+18%
Cost per patient vs peers
$1,664 vs $1,411 avg
+16%
Brand preference vs peers
12.4% vs 10.6% avg
🔎 Data Overview
Opioid rate is 444% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.2%
Opioid Rate
1,438
Opioid Claims
$185K
Opioid Cost
25.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,451 claims · $1.0M
Generic: 10,268 claims · $302K
Patient Profile
75
Avg Age
67%
Female
2.93
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About