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
13,077
Total Claims
$2.1M
Drug Cost
426
Beneficiaries
$4,946
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+484%
Opioid rate vs peers
13.1% vs 2.2% avg
+250%
Cost per patient vs peers
$4,946 vs $1,411 avg
+60%
Brand preference vs peers
17.0% vs 10.6% avg
🔎 Data Overview
Opioid rate is 484% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
13.1%
Opioid Rate
1,710
Opioid Claims
$229K
Opioid Cost
18.7%
Long-Acting Rate
Brand vs Generic
Brand: 2,208 claims · $1.8M
Generic: 10,785 claims · $324K
Patient Profile
71
Avg Age
53%
Female
1.67
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