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
1,678
Total Claims
$106K
Drug Cost
124
Beneficiaries
$852
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1543%
Opioid rate vs peers
36.8% vs 2.2% avg
-40%
Cost per patient vs peers
$852 vs $1,411 avg
-53%
Brand preference vs peers
4.9% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.8%
Opioid Rate
617
Opioid Claims
$56K
Opioid Cost
10.0%
Long-Acting Rate
This provider's opioid prescribing rate of 36.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 83 claims · $74K
Generic: 1,595 claims · $32K
Patient Profile
63
Avg Age
36%
Female
2.33
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