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
15,140
Total Claims
$2.1M
Drug Cost
562
Beneficiaries
$3,824
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1124%
Opioid rate vs peers
27.4% vs 2.2% avg
+171%
Cost per patient vs peers
$3,824 vs $1,411 avg
+33%
Brand preference vs peers
14.2% 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 1,124% 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
27.4%
Opioid Rate
4,149
Opioid Claims
$176K
Opioid Cost
19.9%
Long-Acting Rate
This provider's opioid prescribing rate of 27.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 2,126 claims · $1.8M
Generic: 12,888 claims · $311K
Patient Profile
65
Avg Age
66%
Female
1.75
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