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
18,153
Total Claims
$1.4M
Drug Cost
1,108
Beneficiaries
$1,240
Cost/Patient
Risk Score Breakdown 12/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+291%
Opioid rate vs peers
8.8% vs 2.2% avg
-12%
Cost per patient vs peers
$1,240 vs $1,411 avg
-7%
Brand preference vs peers
9.9% vs 10.6% avg
🔎 Data Overview
Opioid rate is 291% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
8.8%
Opioid Rate
1,590
Opioid Claims
$41K
Opioid Cost
5.2%
Long-Acting Rate
Brand vs Generic
Brand: 1,781 claims · $1.1M
Generic: 16,191 claims · $235K
Patient Profile
76
Avg Age
72%
Female
1.37
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About