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
826
Total Claims
$41K
Drug Cost
218
Beneficiaries
$186
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1793%
Opioid rate vs peers
42.4% vs 2.2% avg
-87%
Cost per patient vs peers
$186 vs $1,411 avg
-40%
Brand preference vs peers
6.4% 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 1,793% 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
42.4%
Opioid Rate
350
Opioid Claims
$19K
Opioid Cost
21.4%
Long-Acting Rate
This provider's opioid prescribing rate of 42.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 53 claims · $13K
Generic: 773 claims · $28K
Patient Profile
80
Avg Age
67%
Female
3.13
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