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
794
Total Claims
$71K
Drug Cost
73
Beneficiaries
$975
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1909%
Opioid rate vs peers
45.0% vs 2.2% avg
-31%
Cost per patient vs peers
$975 vs $1,411 avg
+29%
Brand preference vs peers
13.7% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.0%
Opioid Rate
357
Opioid Claims
$46K
Opioid Cost
45.4%
Long-Acting Rate
This provider's opioid prescribing rate of 45.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 109 claims · $45K
Generic: 685 claims · $26K
Patient Profile
72
Avg Age
58%
Female
3.03
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