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
7,192
Total Claims
$617K
Drug Cost
373
Beneficiaries
$1,654
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+740%
Opioid rate vs peers
18.8% vs 2.2% avg
+17%
Cost per patient vs peers
$1,654 vs $1,411 avg
-7%
Brand preference vs peers
9.9% 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 740% 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
18.8%
Opioid Rate
1,352
Opioid Claims
$91K
Opioid Cost
3.5%
Long-Acting Rate
Brand vs Generic
Brand: 703 claims · $449K
Generic: 6,404 claims · $163K
Patient Profile
66
Avg Age
62%
Female
1.59
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