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
5,122
Total Claims
$584K
Drug Cost
167
Beneficiaries
$3,498
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+900%
Opioid rate vs peers
22.4% vs 2.2% avg
+148%
Cost per patient vs peers
$3,498 vs $1,411 avg
+37%
Brand preference vs peers
14.5% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
22.4%
Opioid Rate
1,147
Opioid Claims
$35K
Opioid Cost
17.3%
Long-Acting Rate
This provider's opioid prescribing rate of 22.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 734 claims · $449K
Generic: 4,316 claims · $132K
Patient Profile
71
Avg Age
69%
Female
1.95
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