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
596
Total Claims
$673K
Drug Cost
128
Beneficiaries
$5,258
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1054%
Opioid rate vs peers
25.8% vs 2.2% avg
+273%
Cost per patient vs peers
$5,258 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
25.8%
Opioid Rate
154
Opioid Claims
$14K
Opioid Cost
18.8%
Long-Acting Rate
This provider's opioid prescribing rate of 25.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 511 claims · $49K
Patient Profile
72
Avg Age
41%
Female
2.78
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