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
7,150
Total Claims
$770K
Drug Cost
132
Beneficiaries
$5,835
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-46%
Opioid rate vs peers
1.2% vs 2.2% avg
+314%
Cost per patient vs peers
$5,835 vs $1,411 avg
+78%
Brand preference vs peers
18.9% vs 10.6% avg
Opioid Prescribing
1.2%
Opioid Rate
86
Opioid Claims
$4,662
Opioid Cost
29.1%
Long-Acting Rate
Brand vs Generic
Brand: 1,346 claims · $622K
Generic: 5,772 claims · $146K
Patient Profile
72
Avg Age
44%
Female
2.74
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