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
263
Total Claims
$23K
Drug Cost
25
Beneficiaries
$918
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1208%
Opioid rate vs peers
29.3% vs 2.2% avg
-35%
Cost per patient vs peers
$918 vs $1,411 avg
+79%
Brand preference vs peers
19.0% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
29.3%
Opioid Rate
77
Opioid Claims
$2,892
Opioid Cost
32.5%
Long-Acting Rate
This provider's opioid prescribing rate of 29.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $17K
Generic: 213 claims · $5,974
Patient Profile
70
Avg Age
52%
Female
2.85
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