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
2,569
Total Claims
$168K
Drug Cost
426
Beneficiaries
$395
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2922%
Opioid rate vs peers
67.7% vs 2.2% avg
-72%
Cost per patient vs peers
$395 vs $1,411 avg
-42%
Brand preference vs peers
6.2% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
67.7%
Opioid Rate
1,738
Opioid Claims
$128K
Opioid Cost
18.4%
Long-Acting Rate
This provider's opioid prescribing rate of 67.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 159 claims · $82K
Generic: 2,410 claims · $86K
Patient Profile
66
Avg Age
65%
Female
1.99
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