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
439
Total Claims
$31K
Drug Cost
86
Beneficiaries
$359
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2454%
Opioid rate vs peers
57.2% vs 2.2% avg
-75%
Cost per patient vs peers
$359 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.2%
Opioid Rate
251
Opioid Claims
$26K
Opioid Cost
36.7%
Long-Acting Rate
This provider's opioid prescribing rate of 57.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 400 claims · $15K
Patient Profile
68
Avg Age
61%
Female
1.90
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