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
177
Total Claims
$16K
Drug Cost
91
Beneficiaries
$172
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1818%
Opioid rate vs peers
42.9% vs 2.2% avg
-88%
Cost per patient vs peers
$172 vs $1,411 avg
+70%
Brand preference vs peers
18.1% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,818% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
42.9%
Opioid Rate
76
Opioid Claims
$5,793
Opioid Cost
39.5%
Long-Acting Rate
This provider's opioid prescribing rate of 42.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 32 claims · $9,659
Generic: 145 claims · $6,036
Patient Profile
71
Avg Age
62%
Female
2.74
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