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
165
Total Claims
$18K
Drug Cost
39
Beneficiaries
$456
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1308%
Opioid rate vs peers
31.5% vs 2.2% avg
-68%
Cost per patient vs peers
$456 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
31.5%
Opioid Rate
52
Opioid Claims
$1,156
Opioid Cost
32.7%
Long-Acting Rate
This provider's opioid prescribing rate of 31.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 141 claims · $5,602
Patient Profile
64
Avg Age
46%
Female
2.16
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