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
418
Total Claims
$1.3M
Drug Cost
56
Beneficiaries
$23K
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+787%
Opioid rate vs peers
19.9% vs 2.2% avg
+1510%
Cost per patient vs peers
$23K vs $1,411 avg
+150%
Brand preference vs peers
26.6% 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 787% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 1510% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
19.9%
Opioid Rate
83
Opioid Claims
$34K
Opioid Cost
26.5%
Long-Acting Rate
Brand vs Generic
Brand: 111 claims · $1.2M
Generic: 307 claims · $68K
Patient Profile
69
Avg Age
63%
Female
3.23
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