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
11,548
Total Claims
$771K
Drug Cost
636
Beneficiaries
$1,213
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+921%
Opioid rate vs peers
22.9% vs 2.2% avg
-14%
Cost per patient vs peers
$1,213 vs $1,411 avg
+33%
Brand preference vs peers
14.1% 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 921% 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
22.9%
Opioid Rate
2,639
Opioid Claims
$174K
Opioid Cost
14.5%
Long-Acting Rate
This provider's opioid prescribing rate of 22.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,623 claims · $481K
Generic: 9,884 claims · $288K
Patient Profile
72
Avg Age
64%
Female
1.89
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