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
2,122
Total Claims
$424K
Drug Cost
83
Beneficiaries
$5,106
Cost/Patient
Risk Score Breakdown 57/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+3037%
Opioid rate vs peers
70.2% vs 2.2% avg
+262%
Cost per patient vs peers
$5,106 vs $1,411 avg
-18%
Brand preference vs peers
8.7% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
70.2%
Opioid Rate
1,490
Opioid Claims
$396K
Opioid Cost
39.8%
Long-Acting Rate
This provider's opioid prescribing rate of 70.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 185 claims · $179K
Generic: 1,937 claims · $245K
Patient Profile
60
Avg Age
45%
Female
1.50
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