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
431
Total Claims
$33K
Drug Cost
125
Beneficiaries
$265
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+1983%
Opioid rate vs peers
46.6% vs 2.2% avg
-81%
Cost per patient vs peers
$265 vs $1,411 avg
-45%
Brand preference vs peers
5.8% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
46.6%
Opioid Rate
201
Opioid Claims
$22K
Opioid Cost
35.3%
Long-Acting Rate
This provider's opioid prescribing rate of 46.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 25 claims · $17K
Generic: 406 claims · $16K
Patient Profile
62
Avg Age
63%
Female
3.10
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