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
2,493
Total Claims
$219K
Drug Cost
42
Beneficiaries
$5,217
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1212%
Opioid rate vs peers
29.4% vs 2.2% avg
+270%
Cost per patient vs peers
$5,217 vs $1,411 avg
+8%
Brand preference vs peers
11.5% 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 1,212% 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
29.4%
Opioid Rate
732
Opioid Claims
$149K
Opioid Cost
41.4%
Long-Acting Rate
This provider's opioid prescribing rate of 29.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 286 claims · $133K
Generic: 2,207 claims · $86K
Patient Profile
65
Avg Age
62%
Female
1.98
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