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
16,757
Total Claims
$4.5M
Drug Cost
664
Beneficiaries
$6,746
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+413%
Opioid rate vs peers
11.5% vs 2.2% avg
+378%
Cost per patient vs peers
$6,746 vs $1,411 avg
+7%
Brand preference vs peers
11.4% vs 10.6% avg
🔎 Data Overview
Opioid rate is 413% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
11.5%
Opioid Rate
1,923
Opioid Claims
$54K
Opioid Cost
1.6%
Long-Acting Rate
Brand vs Generic
Brand: 1,900 claims · $4.1M
Generic: 14,829 claims · $409K
Patient Profile
68
Avg Age
77%
Female
1.45
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About