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
16,972
Total Claims
$1.4M
Drug Cost
408
Beneficiaries
$3,492
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+693%
Opioid rate vs peers
17.7% vs 2.2% avg
+147%
Cost per patient vs peers
$3,492 vs $1,411 avg
-13%
Brand preference vs peers
9.2% 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 693% 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
17.7%
Opioid Rate
3,011
Opioid Claims
$197K
Opioid Cost
25.0%
Long-Acting Rate
Brand vs Generic
Brand: 1,563 claims · $1.0M
Generic: 15,354 claims · $404K
Patient Profile
68
Avg Age
57%
Female
1.64
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