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
1,450
Total Claims
$1.4M
Drug Cost
141
Beneficiaries
$9,945
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2245%
Opioid rate vs peers
52.5% vs 2.2% avg
+605%
Cost per patient vs peers
$9,945 vs $1,411 avg
+32%
Brand preference vs peers
14.0% 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 2,245% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 605% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
52.5%
Opioid Rate
761
Opioid Claims
$19K
Opioid Cost
26.8%
Long-Acting Rate
This provider's opioid prescribing rate of 52.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 203 claims · $1.3M
Generic: 1,247 claims · $140K
Patient Profile
49
Avg Age
53%
Female
4.74
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