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
9,708
Total Claims
$1.0M
Drug Cost
345
Beneficiaries
$3,011
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+629%
Opioid rate vs peers
16.3% vs 2.2% avg
+113%
Cost per patient vs peers
$3,011 vs $1,411 avg
+24%
Brand preference vs peers
13.2% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 629% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
16.3%
Opioid Rate
1,584
Opioid Claims
$82K
Opioid Cost
12.1%
Long-Acting Rate
Brand vs Generic
Brand: 1,274 claims · $797K
Generic: 8,386 claims · $238K
Patient Profile
68
Avg Age
48%
Female
1.20
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