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
1,324
Total Claims
$36K
Drug Cost
39
Beneficiaries
$926
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1658%
Opioid rate vs peers
39.4% vs 2.2% avg
-34%
Cost per patient vs peers
$926 vs $1,411 avg
-55%
Brand preference vs peers
4.8% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
39.4%
Opioid Rate
521
Opioid Claims
$8,456
Opioid Cost
32.2%
Long-Acting Rate
This provider's opioid prescribing rate of 39.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 59 claims · $14K
Generic: 1,182 claims · $18K
Patient Profile
70
Avg Age
62%
Female
1.23
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