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
882
Total Claims
$76K
Drug Cost
39
Beneficiaries
$1,954
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1404%
Opioid rate vs peers
33.7% vs 2.2% avg
+38%
Cost per patient vs peers
$1,954 vs $1,411 avg
+18%
Brand preference vs peers
12.5% 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 1,404% 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
33.7%
Opioid Rate
297
Opioid Claims
$11K
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 33.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 107 claims · $40K
Generic: 748 claims · $35K
Patient Profile
61
Avg Age
41%
Female
1.37
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