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
282
Total Claims
$212K
Drug Cost
79
Beneficiaries
$2,685
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2451%
Opioid rate vs peers
57.1% vs 2.2% avg
+90%
Cost per patient vs peers
$2,685 vs $1,411 avg
+77%
Brand preference vs peers
18.8% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.1%
Opioid Rate
161
Opioid Claims
$13K
Opioid Cost
34.8%
Long-Acting Rate
This provider's opioid prescribing rate of 57.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 53 claims · $172K
Generic: 229 claims · $40K
Patient Profile
56
Avg Age
54%
Female
3.84
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About