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
14,959
Total Claims
$944K
Drug Cost
313
Beneficiaries
$3,016
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1059%
Opioid rate vs peers
25.9% vs 2.2% avg
+114%
Cost per patient vs peers
$3,016 vs $1,411 avg
-12%
Brand preference vs peers
9.4% 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 1,059% 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
25.9%
Opioid Rate
3,881
Opioid Claims
$43K
Opioid Cost
10.2%
Long-Acting Rate
This provider's opioid prescribing rate of 25.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,395 claims · $711K
Generic: 13,482 claims · $229K
Patient Profile
68
Avg Age
53%
Female
1.74
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