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
10,123
Total Claims
$1.8M
Drug Cost
196
Beneficiaries
$9,185
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+453%
Opioid rate vs peers
12.4% vs 2.2% avg
+551%
Cost per patient vs peers
$9,185 vs $1,411 avg
+93%
Brand preference vs peers
20.6% vs 10.6% avg
🔎 Data Overview
Opioid rate is 453% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 551% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
12.4%
Opioid Rate
1,254
Opioid Claims
$82K
Opioid Cost
21.2%
Long-Acting Rate
Brand vs Generic
Brand: 2,071 claims · $1.5M
Generic: 8,001 claims · $264K
Patient Profile
61
Avg Age
55%
Female
2.10
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About