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 →45
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,536
Total Claims
$654K
Drug Cost
886
Beneficiaries
$739
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2097%
Opioid rate vs peers
49.2% vs 2.2% avg
-48%
Cost per patient vs peers
$739 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.2%
Opioid Rate
4,197
Opioid Claims
$363K
Opioid Cost
17.7%
Long-Acting Rate
This provider's opioid prescribing rate of 49.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 7,806 claims · $271K
Patient Profile
66
Avg Age
63%
Female
1.98
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