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
132
Total Claims
$5,704
Drug Cost
49
Beneficiaries
$116
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1423%
Opioid rate vs peers
34.1% vs 2.2% avg
-92%
Cost per patient vs peers
$116 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,423% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
34.1%
Opioid Rate
45
Opioid Claims
$3,372
Opioid Cost
24.4%
Long-Acting Rate
This provider's opioid prescribing rate of 34.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $3,378
Generic: 118 claims · $2,325
Patient Profile
77
Avg Age
57%
Female
2.73
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