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
8,799
Total Claims
$5.2M
Drug Cost
296
Beneficiaries
$18K
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+102%
Opioid rate vs peers
4.5% vs 2.2% avg
+1150%
Cost per patient vs peers
$18K vs $1,411 avg
+133%
Brand preference vs peers
24.7% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 1150% 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
4.5%
Opioid Rate
397
Opioid Claims
$50K
Opioid Cost
24.9%
Long-Acting Rate
Brand vs Generic
Brand: 2,148 claims · $4.8M
Generic: 6,534 claims · $371K
Patient Profile
73
Avg Age
40%
Female
1.08
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