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
6,149
Total Claims
$512K
Drug Cost
102
Beneficiaries
$5,023
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+6%
Opioid rate vs peers
2.4% vs 2.2% avg
+256%
Cost per patient vs peers
$5,023 vs $1,411 avg
+85%
Brand preference vs peers
19.7% vs 10.6% avg
Opioid Prescribing
2.4%
Opioid Rate
146
Opioid Claims
$6,693
Opioid Cost
23.3%
Long-Acting Rate
Brand vs Generic
Brand: 1,193 claims · $255K
Generic: 4,867 claims · $252K
Patient Profile
82
Avg Age
67%
Female
2.16
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