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
$30K
Drug Cost
86
Beneficiaries
$347
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1715%
Opioid rate vs peers
40.6% vs 2.2% avg
-75%
Cost per patient vs peers
$347 vs $1,411 avg
+32%
Brand preference vs peers
14.1% 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 1,715% 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
40.6%
Opioid Rate
104
Opioid Claims
$6,341
Opioid Cost
32.7%
Long-Acting Rate
This provider's opioid prescribing rate of 40.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 36 claims · $11K
Generic: 220 claims · $19K
Patient Profile
70
Avg Age
62%
Female
3.56
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