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
348
Total Claims
$13K
Drug Cost
165
Beneficiaries
$79
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1672%
Opioid rate vs peers
39.7% vs 2.2% avg
-94%
Cost per patient vs peers
$79 vs $1,411 avg
+59%
Brand preference vs peers
17.0% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
39.7%
Opioid Rate
138
Opioid Claims
$1,158
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 39.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 59 claims · $10K
Generic: 289 claims · $2,656
Patient Profile
72
Avg Age
57%
Female
0.70
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