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
141
Total Claims
$3,657
Drug Cost
34
Beneficiaries
$108
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+3765%
Opioid rate vs peers
86.5% vs 2.2% avg
-92%
Cost per patient vs peers
$108 vs $1,411 avg
-20%
Brand preference vs peers
8.5% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
86.5%
Opioid Rate
122
Opioid Claims
$2,973
Opioid Cost
41.8%
Long-Acting Rate
This provider's opioid prescribing rate of 86.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $888
Generic: 129 claims · $2,769
Patient Profile
41
Avg Age
56%
Female
5.00
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