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
6,343
Total Claims
$713K
Drug Cost
113
Beneficiaries
$6,307
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+116%
Opioid rate vs peers
4.8% vs 2.2% avg
+347%
Cost per patient vs peers
$6,307 vs $1,411 avg
+36%
Brand preference vs peers
14.5% vs 10.6% avg
Opioid Prescribing
4.8%
Opioid Rate
306
Opioid Claims
$12K
Opioid Cost
30.4%
Long-Acting Rate
Brand vs Generic
Brand: 908 claims · $495K
Generic: 5,364 claims · $212K
Patient Profile
70
Avg Age
48%
Female
3.00
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