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
6,318
Total Claims
$750K
Drug Cost
290
Beneficiaries
$2,586
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+880%
Opioid rate vs peers
21.9% vs 2.2% avg
+83%
Cost per patient vs peers
$2,586 vs $1,411 avg
+11%
Brand preference vs peers
11.8% 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 880% 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
21.9%
Opioid Rate
1,386
Opioid Claims
$167K
Opioid Cost
28.0%
Long-Acting Rate
This provider's opioid prescribing rate of 21.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 739 claims · $634K
Generic: 5,516 claims · $113K
Patient Profile
69
Avg Age
39%
Female
1.48
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