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
8,190
Total Claims
$848K
Drug Cost
627
Beneficiaries
$1,352
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+758%
Opioid rate vs peers
19.2% vs 2.2% avg
-4%
Cost per patient vs peers
$1,352 vs $1,411 avg
-24%
Brand preference vs peers
8.0% 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 758% 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
19.2%
Opioid Rate
1,573
Opioid Claims
$42K
Opioid Cost
1.0%
Long-Acting Rate
Brand vs Generic
Brand: 656 claims · $591K
Generic: 7,506 claims · $255K
Patient Profile
67
Avg Age
50%
Female
2.00
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