⚠️

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 →

Wally SmithM.D.

Internal Medicine · Richmond, VA 23298

NPI: 1487743548

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46

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingElevated cost per beneficiaryHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

1,165

Total Claims

$518K

Drug Cost

91

Beneficiaries

$5,692

Cost/Patient

Risk Score Breakdown 46/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+2147%

Opioid rate vs peers

50.3% vs 2.2% avg

+303%

Cost per patient vs peers

$5,692 vs $1,411 avg

+98%

Brand preference vs peers

21.0% 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 2,147% 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

50.3%

Opioid Rate

586

Opioid Claims

$157K

Opioid Cost

30.9%

Long-Acting Rate

This provider's opioid prescribing rate of 50.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

79% generic

Brand: 245 claims · $451K

Generic: 920 claims · $67K

Patient Profile

48

Avg Age

62%

Female

4.96

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