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
208
Total Claims
$19K
Drug Cost
35
Beneficiaries
$545
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2606%
Opioid rate vs peers
60.6% vs 2.2% avg
-61%
Cost per patient vs peers
$545 vs $1,411 avg
+162%
Brand preference vs peers
27.9% 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 2,606% 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
60.6%
Opioid Rate
126
Opioid Claims
$14K
Opioid Cost
37.3%
Long-Acting Rate
This provider's opioid prescribing rate of 60.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 58 claims · $15K
Generic: 150 claims · $4,180
Patient Profile
76
Avg Age
40%
Female
3.00
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