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
480
Total Claims
$33K
Drug Cost
84
Beneficiaries
$391
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2348%
Opioid rate vs peers
54.8% vs 2.2% avg
-72%
Cost per patient vs peers
$391 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.
Opioid Prescribing
54.8%
Opioid Rate
263
Opioid Claims
$24K
Opioid Cost
40.3%
Long-Acting Rate
This provider's opioid prescribing rate of 54.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 60 claims · $18K
Generic: 420 claims · $15K
Patient Profile
71
Avg Age
48%
Female
3.00
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