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
151
Total Claims
$16K
Drug Cost
26
Beneficiaries
$603
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2178%
Opioid rate vs peers
51.0% vs 2.2% avg
-57%
Cost per patient vs peers
$603 vs $1,411 avg
+50%
Brand preference vs peers
15.9% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
51.0%
Opioid Rate
77
Opioid Claims
$8,113
Opioid Cost
32.5%
Long-Acting Rate
This provider's opioid prescribing rate of 51.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 24 claims · $12K
Generic: 127 claims · $4,160
Patient Profile
67
Avg Age
—
Female
2.45
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