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
441
Total Claims
$24K
Drug Cost
138
Beneficiaries
$171
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2524%
Opioid rate vs peers
58.7% vs 2.2% avg
-88%
Cost per patient vs peers
$171 vs $1,411 avg
-62%
Brand preference vs peers
4.1% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.7%
Opioid Rate
259
Opioid Claims
$18K
Opioid Cost
37.5%
Long-Acting Rate
This provider's opioid prescribing rate of 58.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $6,493
Generic: 423 claims · $17K
Patient Profile
74
Avg Age
48%
Female
2.63
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