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
301
Total Claims
$13K
Drug Cost
168
Beneficiaries
$76
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1636%
Opioid rate vs peers
38.9% vs 2.2% avg
-95%
Cost per patient vs peers
$76 vs $1,411 avg
-9%
Brand preference vs peers
9.6% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
38.9%
Opioid Rate
117
Opioid Claims
$6,440
Opioid Cost
18.8%
Long-Acting Rate
This provider's opioid prescribing rate of 38.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 29 claims · $6,512
Generic: 272 claims · $6,174
Patient Profile
75
Avg Age
60%
Female
2.96
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