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
356
Total Claims
$15K
Drug Cost
62
Beneficiaries
$249
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1356%
Opioid rate vs peers
32.6% vs 2.2% avg
-82%
Cost per patient vs peers
$249 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
32.6%
Opioid Rate
116
Opioid Claims
$5,002
Opioid Cost
50.9%
Long-Acting Rate
This provider's opioid prescribing rate of 32.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 325 claims · $6,761
Patient Profile
75
Avg Age
63%
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