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
1,280
Total Claims
$119K
Drug Cost
70
Beneficiaries
$1,704
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1024%
Opioid rate vs peers
25.2% vs 2.2% avg
+21%
Cost per patient vs peers
$1,704 vs $1,411 avg
-23%
Brand preference vs peers
8.2% 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 1,024% 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
25.2%
Opioid Rate
322
Opioid Claims
$28K
Opioid Cost
25.8%
Long-Acting Rate
This provider's opioid prescribing rate of 25.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 105 claims · $74K
Generic: 1,175 claims · $45K
Patient Profile
68
Avg Age
53%
Female
1.11
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