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
1,003
Total Claims
$42K
Drug Cost
108
Beneficiaries
$392
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1490%
Opioid rate vs peers
35.6% vs 2.2% avg
-72%
Cost per patient vs peers
$392 vs $1,411 avg
-39%
Brand preference vs peers
6.5% vs 10.6% 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 1,490% 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
35.6%
Opioid Rate
357
Opioid Claims
$17K
Opioid Cost
31.4%
Long-Acting Rate
This provider's opioid prescribing rate of 35.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 65 claims · $16K
Generic: 938 claims · $26K
Patient Profile
74
Avg Age
57%
Female
2.74
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