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
1,098
Total Claims
$186K
Drug Cost
171
Beneficiaries
$1,087
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2683%
Opioid rate vs peers
62.3% vs 2.2% avg
-23%
Cost per patient vs peers
$1,087 vs $1,411 avg
+37%
Brand preference vs peers
14.6% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.3%
Opioid Rate
684
Opioid Claims
$170K
Opioid Cost
34.6%
Long-Acting Rate
This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 160 claims · $148K
Generic: 938 claims · $38K
Patient Profile
66
Avg Age
59%
Female
3.14
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