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
1,407
Total Claims
$74K
Drug Cost
752
Beneficiaries
$98
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1789%
Opioid rate vs peers
42.3% vs 2.2% avg
-93%
Cost per patient vs peers
$98 vs $1,411 avg
-6%
Brand preference vs peers
10.0% 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 1,789% 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
42.3%
Opioid Rate
595
Opioid Claims
$6,420
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 42.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 141 claims · $54K
Generic: 1,266 claims · $20K
Patient Profile
73
Avg Age
58%
Female
1.03
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