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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
442
Total Claims
$40K
Drug Cost
64
Beneficiaries
$633
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2043%
Opioid rate vs peers
48.0% vs 2.2% avg
-55%
Cost per patient vs peers
$633 vs $1,411 avg
+34%
Brand preference vs peers
14.3% 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 2,043% 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
48.0%
Opioid Rate
212
Opioid Claims
$31K
Opioid Cost
39.2%
Long-Acting Rate
This provider's opioid prescribing rate of 48.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 63 claims · $33K
Generic: 379 claims · $7,746
Patient Profile
74
Avg Age
53%
Female
3.57
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