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
1,026
Total Claims
$49K
Drug Cost
221
Beneficiaries
$221
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1441%
Opioid rate vs peers
34.5% vs 2.2% avg
-84%
Cost per patient vs peers
$221 vs $1,411 avg
-31%
Brand preference vs peers
7.3% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
34.5%
Opioid Rate
354
Opioid Claims
$19K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 34.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 75 claims · $22K
Generic: 951 claims · $27K
Patient Profile
76
Avg Age
58%
Female
2.79
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