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
4,393
Total Claims
$120K
Drug Cost
248
Beneficiaries
$483
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2145%
Opioid rate vs peers
50.3% vs 2.2% avg
-66%
Cost per patient vs peers
$483 vs $1,411 avg
-69%
Brand preference vs peers
3.3% 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 2,145% 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
50.3%
Opioid Rate
2,208
Opioid Claims
$75K
Opioid Cost
27.2%
Long-Acting Rate
This provider's opioid prescribing rate of 50.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 146 claims · $30K
Generic: 4,247 claims · $90K
Patient Profile
63
Avg Age
52%
Female
1.96
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