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
256
Total Claims
$18K
Drug Cost
62
Beneficiaries
$284
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1436%
Opioid rate vs peers
34.4% vs 2.2% avg
-80%
Cost per patient vs peers
$284 vs $1,411 avg
-27%
Brand preference vs peers
7.8% 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 1,436% 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
34.4%
Opioid Rate
88
Opioid Claims
$13K
Opioid Cost
36.4%
Long-Acting Rate
This provider's opioid prescribing rate of 34.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $9,291
Generic: 236 claims · $8,327
Patient Profile
70
Avg Age
61%
Female
2.62
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