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
5,046
Total Claims
$537K
Drug Cost
137
Beneficiaries
$3,922
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+875%
Opioid rate vs peers
21.8% vs 2.2% avg
+178%
Cost per patient vs peers
$3,922 vs $1,411 avg
+5%
Brand preference vs peers
11.2% 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 875% 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
21.8%
Opioid Rate
1,101
Opioid Claims
$40K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 21.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 557 claims · $414K
Generic: 4,432 claims · $120K
Patient Profile
67
Avg Age
48%
Female
1.37
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